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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $338.84 | Professional | None | $218.78 | $309.03 | $338.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $338.84 Median $354.81 Typical High $363.08 | Facility | None | $338.84 | $354.81 | $363.08 |
BCBS Kansas Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $323.59 Typical High $2,089.30 | Facility | None | $213.80 | $323.59 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $2,511.89 | Professional | None | $151.36 | $223.87 | $2,511.89 |
United Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $537.03 | Facility | None | $147.91 | $204.17 | $537.03 |
United Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $263.03 | Professional | None | $131.83 | $194.98 | $263.03 |
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 $107.15 Median $154.88 Typical High $169.82 | Professional | 52 · Reduced service | $107.15 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $61.66 Typical High $67.61 | Professional | 53 · Discontinued | $43.65 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $46.77 Typical High $51.29 | Professional | 55 · Aftercare only | $32.36 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $30.90 Typical High $33.88 | Professional | 56 · Pre-op care only | $21.88 | $30.90 | $33.88 |
Where Kansas sits
The same service costs 2.9 times more in Montana 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· 16th of 51
$339
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.