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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $173.78 | Professional | None | $109.65 | $158.49 | $173.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $131.83 Median $134.90 Typical High $138.04 | Facility | None | $131.83 | $134.90 | $138.04 |
BCBS Kansas Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $144.54 | Professional | None | $104.71 | $104.71 | $144.54 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $165.96 Typical High $1,071.52 | Facility | None | $109.65 | $165.96 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $1,288.25 | Professional | None | $77.62 | $114.82 | $1,288.25 |
United Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $269.15 | Facility | None | $87.10 | $100.00 | $269.15 |
United Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $134.90 | Professional | None | $66.07 | $100.00 | $134.90 |
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 $54.95 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $21.88 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $23.44 Typical High $25.70 | Professional | 55 · Aftercare only | $16.60 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $15.85 Typical High $17.38 | Professional | 56 · Pre-op care only | $10.96 | $15.85 | $17.38 |
Where Kansas sits
The same service costs 2.5 times more in Montana 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· 20th of 51
$145
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.