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 $190.55 Median $190.55 Typical High $331.13 | Facility | None | $190.55 | $190.55 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $194.98 Typical High $257.04 | Professional | None | $190.55 | $194.98 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $97.72 Typical High $128.82 | Professional | 52 · Reduced service | $95.50 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.90 Typical High $51.29 | Professional | 53 · Discontinued | $38.02 | $38.90 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $29.51 Typical High $38.90 | Professional | 55 · Aftercare only | $28.84 | $29.51 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.50 Typical High $25.70 | Professional | 56 · Pre-op care only | $19.05 | $19.50 | $25.70 |
BCBS Kansas Setting Facility Modifier None Typical Low $208.93 Median $223.87 Typical High $223.87 | Facility | None | $208.93 | $223.87 | $223.87 |
BCBS Kansas Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $812.83 Typical High $933.25 | Facility | None | $239.88 | $812.83 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $173.78 Typical High $239.88 | Facility | None | $169.82 | $173.78 | $239.88 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | None | $181.97 | $181.97 | $213.80 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | None | $186.21 | $186.21 | $223.87 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | JW · Drug discarded | $190.55 | $190.55 | $190.55 |
Where Kansas sits
Rates are fairly even across states for this service. 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· 35th of 51
$191
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.