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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $147.91 | Professional | None | $95.50 | $134.90 | $147.91 |
BCBS Kansas Setting Facility Modifier None Typical Low $173.78 Median $181.97 Typical High $186.21 | Facility | None | $173.78 | $181.97 | $186.21 |
BCBS Kansas Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $117.49 | Professional | None | $85.11 | $85.11 | $117.49 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $812.83 | Facility | None | $93.33 | $141.25 | $812.83 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $91.20 Typical High $870.96 | Professional | None | $58.88 | $91.20 | $870.96 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $208.93 | Facility | None | $57.54 | $57.54 | $208.93 |
United Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $112.20 | Professional | None | $57.54 | $85.11 | $112.20 |
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 $46.77 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $46.77 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $19.05 | $26.92 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $20.42 Typical High $22.39 | Professional | 55 · Aftercare only | $14.13 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $13.49 Typical High $14.79 | Professional | 56 · Pre-op care only | $9.33 | $13.49 | $14.79 |
Where Kansas sits
The same service costs 2.1 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· 2nd of 51
$174
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.