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 $234.42 Median $281.84 Typical High $354.81 | Facility | None | $234.42 | $281.84 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $281.84 | Professional | None | $204.17 | $229.09 | $281.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $229.09 Median $239.88 Typical High $239.88 | Facility | None | $229.09 | $239.88 | $239.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $870.96 Typical High $1,000.00 | Facility | None | $257.04 | $870.96 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $213.80 Typical High $275.42 | Facility | None | $186.21 | $213.80 | $275.42 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $851.14 | Professional | None | $199.53 | $234.42 | $851.14 |
United Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | None | $199.53 | $199.53 | $229.09 |
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 $102.33 Median $114.82 Typical High $141.25 | Professional | 52 · Reduced service | $102.33 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $45.71 Typical High $56.23 | Professional | 53 · Discontinued | $40.74 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $34.67 Typical High $41.69 | Professional | 55 · Aftercare only | $30.90 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $22.91 Typical High $28.18 | Professional | 56 · Pre-op care only | $20.42 | $22.91 | $28.18 |
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· 13th of 51
$214
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.