How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $251.19 Median $602.56 Typical High $602.56 | Facility | None | $251.19 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $602.56 | Professional | None | $295.12 | $398.11 | $602.56 |
BCBS Kansas Setting Facility Modifier None Typical Low $346.74 Median $363.08 Typical High $363.08 | Facility | None | $346.74 | $363.08 | $363.08 |
BCBS Kansas Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $870.96 Typical High $1,148.15 | Facility | None | $302.00 | $870.96 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $416.87 Typical High $416.87 | Facility | None | $194.98 | $416.87 | $416.87 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $331.13 | Professional | None | $194.98 | $194.98 | $331.13 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $363.08 | Professional | None | $213.80 | $213.80 | $363.08 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $199.53 Typical High $302.00 | Professional | 52 · Reduced service | $147.91 | $199.53 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $79.43 Typical High $120.23 | Professional | 53 · Discontinued | $58.88 | $79.43 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $60.26 Typical High $89.13 | Professional | 55 · Aftercare only | $44.67 | $60.26 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $39.81 Typical High $60.26 | Professional | 56 · Pre-op care only | $29.51 | $39.81 | $60.26 |
Where Kansas sits
The same service costs 6.8 times more in Wyoming than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 2nd of 51
$347
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.