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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $158.49 | Professional | None | $100.00 | $144.54 | $158.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $100.00 Median $104.71 Typical High $104.71 | Facility | None | $100.00 | $104.71 | $104.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | None | $91.20 | $91.20 | $125.89 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $151.36 Typical High $1,000.00 | Facility | None | $100.00 | $151.36 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $1,174.90 | Professional | None | $70.79 | $104.71 | $1,174.90 |
United Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $251.19 | Facility | None | $87.10 | $100.00 | $251.19 |
United Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $123.03 | Professional | None | $61.66 | $91.20 | $123.03 |
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 $50.12 Median $72.44 Typical High $79.43 | Professional | 52 · Reduced service | $50.12 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $28.84 Typical High $31.62 | Professional | 53 · Discontinued | $20.42 | $28.84 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $21.88 Typical High $23.44 | Professional | 55 · Aftercare only | $15.14 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $14.45 Typical High $15.85 | Professional | 56 · Pre-op care only | $10.00 | $14.45 | $15.85 |
Where Kansas sits
The same service costs 2.4 times more in Hawaii than in Delaware. 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· 28th of 51
$120
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.