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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $134.90 | Professional | None | $87.10 | $123.03 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $177.83 Median $190.55 Typical High $190.55 | Facility | None | $177.83 | $190.55 | $190.55 |
BCBS Kansas Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | None | $64.57 | $64.57 | $89.13 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $741.31 | Facility | None | $85.11 | $128.82 | $741.31 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $794.33 | Professional | None | $53.70 | $83.18 | $794.33 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $190.55 | Facility | None | $77.62 | $77.62 | $190.55 |
United Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $102.33 | Professional | None | $52.48 | $77.62 | $102.33 |
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 $42.66 Median $61.66 Typical High $67.61 | Professional | 52 · Reduced service | $42.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $24.55 Typical High $26.92 | Professional | 53 · Discontinued | $17.38 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $18.62 Typical High $20.42 | Professional | 55 · Aftercare only | $12.88 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $12.30 Typical High $13.49 | Professional | 56 · Pre-op care only | $8.71 | $12.30 | $13.49 |
Where Kansas sits
The same service costs 2.8 times more in Kansas 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· 1st of 51
$178
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.