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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $128.82 | Professional | None | $83.18 | $117.49 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $123.03 | Facility | None | $117.49 | $123.03 | $123.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | None | $70.79 | $70.79 | $97.72 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $123.03 Typical High $758.58 | Facility | None | $81.28 | $123.03 | $758.58 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $85.11 Typical High $851.14 | Professional | None | $56.23 | $85.11 | $851.14 |
United Setting Facility Modifier None Typical Low $79.43 Median $89.13 Typical High $199.53 | Facility | None | $79.43 | $89.13 | $199.53 |
United Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $100.00 | Professional | None | $50.12 | $74.13 | $100.00 |
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 $40.74 Median $58.88 Typical High $64.57 | Professional | 52 · Reduced service | $40.74 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $17.78 Typical High $19.50 | Professional | 55 · Aftercare only | $12.30 | $17.78 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $11.75 Typical High $12.88 | Professional | 56 · Pre-op care only | $8.32 | $11.75 | $12.88 |
Where Kansas sits
The same service costs 2.8 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· 15th of 51
$123
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.