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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $61.66 | Professional | None | $40.74 | $56.23 | $61.66 |
BCBS Kansas Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $125.89 | Facility | None | $117.49 | $123.03 | $125.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | None | $27.54 | $27.54 | $38.02 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $85.11 Typical High $436.52 | Facility | None | $44.67 | $85.11 | $436.52 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $66.07 Typical High $575.44 | Professional | None | $41.69 | $66.07 | $575.44 |
United Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $77.62 | Professional | None | $35.48 | $50.12 | $77.62 |
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 $20.42 Median $28.18 Typical High $30.90 | Professional | 52 · Reduced service | $20.42 | $28.18 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $11.22 Typical High $12.30 | Professional | 53 · Discontinued | $8.32 | $11.22 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $8.51 Typical High $9.33 | Professional | 55 · Aftercare only | $6.17 | $8.51 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.62 Typical High $6.17 | Professional | 56 · Pre-op care only | $4.07 | $5.62 | $6.17 |
Where Kansas sits
The same service costs 49.0 times more in North Dakota than in Hawaii. 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
$117
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.