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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $85.11 | Professional | None | $54.95 | $77.62 | $85.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $60.26 | Facility | None | $57.54 | $60.26 | $60.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
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 $53.70 Median $81.28 Typical High $489.78 | Facility | None | $53.70 | $81.28 | $489.78 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $56.23 Typical High $891.25 | Professional | None | $36.31 | $56.23 | $891.25 |
United Setting Facility Modifier None Typical Low $63.10 Median $93.33 Typical High $128.82 | Facility | None | $63.10 | $93.33 | $128.82 |
United Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $66.07 | Professional | None | $33.11 | $48.98 | $66.07 |
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 $27.54 Median $38.90 Typical High $42.66 | Professional | 52 · Reduced service | $27.54 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $15.85 Typical High $16.98 | Professional | 53 · Discontinued | $10.96 | $15.85 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $11.75 Typical High $12.88 | Professional | 55 · Aftercare only | $8.13 | $11.75 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $7.76 Typical High $8.51 | Professional | 56 · Pre-op care only | $5.50 | $7.76 | $8.51 |
Where Kansas sits
The same service costs 4.4 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
$69.18
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.