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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $83.18 | Professional | None | $53.70 | $77.62 | $83.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $60.26 Median $63.10 Typical High $64.57 | Facility | None | $60.26 | $63.10 | $64.57 |
BCBS Kansas Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $72.44 | Professional | None | $53.70 | $53.70 | $72.44 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $512.86 | Facility | None | $52.48 | $81.28 | $512.86 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $676.08 | Professional | None | $37.15 | $56.23 | $676.08 |
United Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $131.83 | Facility | None | $47.86 | $64.57 | $131.83 |
United Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $64.57 | Professional | None | $32.36 | $48.98 | $64.57 |
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 $26.92 Median $38.02 Typical High $41.69 | Professional | 52 · Reduced service | $26.92 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $15.49 Typical High $16.60 | Professional | 53 · Discontinued | $10.72 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $11.48 Typical High $12.59 | Professional | 55 · Aftercare only | $7.94 | $11.48 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.76 Typical High $8.32 | Professional | 56 · Pre-op care only | $5.37 | $7.76 | $8.32 |
Where Kansas sits
The same service costs 3.2 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· 19th of 51
$72.44
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.