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 $33.88 Median $33.88 Typical High $45.71 | Facility | None | $33.88 | $33.88 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $45.71 | Professional | None | $33.88 | $38.02 | $45.71 |
BCBS Kansas Setting Facility Modifier None Typical Low $37.15 Median $38.90 Typical High $38.90 | Facility | None | $37.15 | $38.90 | $38.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $33.11 Typical High $52.48 | Facility | None | $29.51 | $33.11 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $42.66 | Facility | None | $33.88 | $33.88 | $42.66 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | None | $28.18 | $28.18 | $33.88 |
United Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
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 $16.98 Median $19.05 Typical High $22.91 | Professional | 52 · Reduced service | $16.98 | $19.05 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.59 Typical High $9.33 | Professional | 53 · Discontinued | $6.76 | $7.59 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.75 Typical High $6.92 | Professional | 55 · Aftercare only | $5.13 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.80 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.39 | $3.80 | $4.57 |
Where Kansas sits
The same service costs 1.7 times more in Arizona 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· 6th of 51
$37.15
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.