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 $42.66 Median $66.07 Typical High $81.28 | Facility | None | $42.66 | $66.07 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $75.86 | Professional | None | $42.66 | $60.26 | $75.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $89.13 Median $93.33 Typical High $93.33 | Facility | None | $89.13 | $93.33 | $93.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $93.33 | Facility | None | $51.29 | $58.88 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $53.70 | Facility | None | $43.65 | $53.70 | $53.70 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $70.79 | Professional | None | $37.15 | $37.15 | $70.79 |
United Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $141.25 | Professional | None | $63.10 | $63.10 | $141.25 |
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 $20.89 Median $30.20 Typical High $38.02 | Professional | 52 · Reduced service | $20.89 | $30.20 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $12.02 Typical High $15.14 | Professional | 53 · Discontinued | $8.51 | $12.02 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $9.12 Typical High $11.48 | Professional | 55 · Aftercare only | $6.31 | $9.12 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $6.03 Typical High $7.59 | Professional | 56 · Pre-op care only | $4.27 | $6.03 | $7.59 |
Where Kansas sits
The same service costs 3.0 times more in Kansas than in South Carolina. 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· 1st of 51
$89.13
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.