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 $89.13 Median $95.50 Typical High $102.33 | Facility | None | $89.13 | $95.50 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $102.33 | Professional | None | $74.13 | $95.50 | $102.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $93.33 Median $100.00 Typical High $100.00 | Facility | None | $93.33 | $100.00 | $100.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $218.78 Typical High $295.12 | Facility | None | $75.86 | $218.78 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $95.50 Typical High $109.65 | Facility | None | $83.18 | $95.50 | $109.65 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | None | $77.62 | $77.62 | $93.33 |
United Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | None | $75.86 | $75.86 | $93.33 |
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 $37.15 Median $47.86 Typical High $51.29 | Professional | 52 · Reduced service | $37.15 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $19.05 Typical High $20.42 | Professional | 53 · Discontinued | $14.79 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $14.45 Typical High $15.14 | Professional | 55 · Aftercare only | $11.22 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $9.55 Typical High $10.23 | Professional | 56 · Pre-op care only | $7.41 | $9.55 | $10.23 |
Where Kansas sits
The same service costs 1.5 times more in Alaska than in Delaware. 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· 5th of 51
$93.33
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.