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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $91.20 | Professional | None | $60.26 | $83.18 | $91.20 |
BCBS Kansas Setting Facility Modifier None Typical Low $131.83 Median $141.25 Typical High $141.25 | Facility | None | $131.83 | $141.25 | $141.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | None | $41.69 | $41.69 | $56.23 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $125.89 Typical High $645.65 | Facility | None | $66.07 | $125.89 | $645.65 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $851.14 | Professional | None | $61.66 | $97.72 | $851.14 |
United Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $114.82 | Professional | None | $52.48 | $74.13 | $114.82 |
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 $30.20 Median $41.69 Typical High $45.71 | Professional | 52 · Reduced service | $30.20 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $12.30 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $12.59 Typical High $13.80 | Professional | 55 · Aftercare only | $9.12 | $12.59 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $8.32 Typical High $9.12 | Professional | 56 · Pre-op care only | $6.03 | $8.32 | $9.12 |
Where Kansas sits
The same service costs 4.9 times more in North Dakota 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· 11th of 51
$138
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.