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 $295.12 Median $295.12 Typical High $371.54 | Facility | None | $295.12 | $295.12 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $371.54 | Professional | None | $295.12 | $295.12 | $371.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $389.05 Median $416.87 Typical High $416.87 | Facility | None | $389.05 | $416.87 | $416.87 |
BCBS Kansas Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $446.68 Typical High $588.84 | Facility | None | $398.11 | $446.68 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $371.54 | Facility | None | $204.17 | $204.17 | $371.54 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $1,258.93 Typical High $1,258.93 | Professional | None | $309.03 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $363.08 | Professional | None | $309.03 | $309.03 | $363.08 |
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 $147.91 Median $147.91 Typical High $186.21 | Professional | 52 · Reduced service | $147.91 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $74.13 | Professional | 53 · Discontinued | $58.88 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $56.23 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $37.15 |
Where Kansas sits
The same service costs 2.3 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
$347
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.