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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $31.62 Typical High $34.67 | Professional | None | $17.78 | $31.62 | $34.67 |
BCBS Kansas Setting Facility Modifier None Typical Low $30.90 Median $33.11 Typical High $33.11 | Facility | None | $30.90 | $33.11 | $33.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $22.39 | Professional | None | $16.22 | $16.22 | $22.39 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $33.11 Typical High $162.18 | Facility | None | $21.88 | $33.11 | $162.18 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $19.95 Typical High $245.47 | Professional | None | $12.59 | $19.95 | $245.47 |
United Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $40.74 | Facility | None | $19.95 | $28.18 | $40.74 |
United Setting Professional Modifier None Typical Low $11.48 Median $19.95 Typical High $25.70 | Professional | None | $11.48 | $19.95 | $25.70 |
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 $10.96 Median $15.85 Typical High $16.98 | Professional | 52 · Reduced service | $10.96 | $15.85 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $6.31 Typical High $6.92 | Professional | 53 · Discontinued | $4.37 | $6.31 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $4.68 Typical High $5.13 | Professional | 55 · Aftercare only | $3.31 | $4.68 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $3.16 Typical High $3.47 | Professional | 56 · Pre-op care only | $2.19 | $3.16 | $3.47 |
Where Kansas sits
The same service costs 3.7 times more in Hawaii than in Florida. 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
$33.11
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.