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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $117.49 | Professional | None | $74.13 | $107.15 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $112.20 | Facility | None | $107.15 | $109.65 | $112.20 |
BCBS Kansas Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $724.44 | Facility | None | $74.13 | $112.20 | $724.44 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $1,412.54 | Professional | None | $51.29 | $77.62 | $1,412.54 |
United Setting Facility Modifier None Typical Low $89.13 Median $154.88 Typical High $870.96 | Facility | None | $89.13 | $154.88 | $870.96 |
United Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $91.20 | Professional | None | $44.67 | $67.61 | $91.20 |
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 $37.15 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $37.15 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $21.38 Typical High $23.44 | Professional | 53 · Discontinued | $14.79 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $16.22 Typical High $17.38 | Professional | 55 · Aftercare only | $11.22 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.72 Typical High $11.75 | Professional | 56 · Pre-op care only | $7.41 | $10.72 | $11.75 |
Where Kansas sits
The same service costs 5.1 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· 16th of 51
$112
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.