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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $109.65 | Professional | None | $70.79 | $102.33 | $109.65 |
BCBS Kansas Setting Facility Modifier None Typical Low $389.05 Median $407.38 Typical High $407.38 | Facility | None | $389.05 | $407.38 | $407.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $81.28 | Professional | None | $58.88 | $58.88 | $81.28 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $676.08 | Facility | None | $69.18 | $107.15 | $676.08 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $891.25 | Professional | None | $48.98 | $74.13 | $891.25 |
United Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $173.78 | Facility | None | $79.43 | $85.11 | $173.78 |
United Setting Professional Modifier None Typical Low $42.66 Median $64.57 Typical High $85.11 | Professional | None | $42.66 | $64.57 | $85.11 |
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 $35.48 Median $51.29 Typical High $54.95 | Professional | 52 · Reduced service | $35.48 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $14.13 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $15.14 Typical High $16.60 | Professional | 55 · Aftercare only | $10.72 | $15.14 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $10.23 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.08 | $10.23 | $10.96 |
Where Kansas sits
The same service costs 5.1 times more in Kansas 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· 1st of 51
$309
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.