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 $97.72 Median $97.72 Typical High $123.03 | Facility | None | $97.72 | $97.72 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $123.03 | Professional | None | $97.72 | $123.03 | $123.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $131.83 Median $138.04 Typical High $138.04 | Facility | None | $131.83 | $138.04 | $138.04 |
BCBS Kansas Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $125.89 Typical High $194.98 | Facility | None | $109.65 | $125.89 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Medica Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $123.03 | Facility | None | $5.37 | $5.37 | $123.03 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | None | $123.03 | $123.03 | $125.89 |
United Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
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 $48.98 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $48.98 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $19.50 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $14.79 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $9.77 | $12.30 | $12.30 |
Where Kansas sits
The same service costs 3.9 times more in Alaska than in Montana. 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
$129
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.