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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $79.43 | Professional | None | $50.12 | $72.44 | $79.43 |
BCBS Kansas Setting Facility Modifier None Typical Low $70.79 Median $72.44 Typical High $74.13 | Facility | None | $70.79 | $72.44 | $74.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | None | $41.69 | $41.69 | $57.54 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $426.58 | Facility | None | $50.12 | $75.86 | $426.58 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $48.98 Typical High $467.74 | Professional | None | $31.62 | $48.98 | $467.74 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $112.20 | Facility | None | $95.50 | $95.50 | $112.20 |
United Setting Professional Modifier None Typical Low $30.20 Median $45.71 Typical High $60.26 | Professional | None | $30.20 | $45.71 | $60.26 |
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 $25.12 Median $36.31 Typical High $38.90 | Professional | 52 · Reduced service | $25.12 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $14.45 Typical High $15.85 | Professional | 53 · Discontinued | $10.00 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $10.96 Typical High $11.75 | Professional | 55 · Aftercare only | $7.59 | $10.96 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $7.24 Typical High $7.94 | Professional | 56 · Pre-op care only | $5.01 | $7.24 | $7.94 |
Where Kansas sits
The same service costs 2.3 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· 15th of 51
$74.13
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.