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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $64.57 | Professional | None | $40.74 | $58.88 | $64.57 |
BCBS Kansas Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $60.26 | Facility | None | $57.54 | $60.26 | $60.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $41.69 | Professional | None | $30.90 | $30.90 | $41.69 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $61.66 Typical High $346.74 | Facility | None | $40.74 | $61.66 | $346.74 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $39.81 Typical High $380.19 | Professional | None | $25.70 | $39.81 | $380.19 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $91.20 | Facility | None | $77.62 | $77.62 | $91.20 |
United Setting Professional Modifier None Typical Low $25.12 Median $37.15 Typical High $48.98 | Professional | None | $25.12 | $37.15 | $48.98 |
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 $29.51 Typical High $32.36 | Professional | 52 · Reduced service | $20.42 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $11.75 Typical High $12.88 | Professional | 53 · Discontinued | $8.13 | $11.75 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $8.91 Typical High $9.55 | Professional | 55 · Aftercare only | $6.17 | $8.91 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.89 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.07 | $5.89 | $6.46 |
Where Kansas sits
The same service costs 2.6 times more in Montana 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· 16th of 51
$60.26
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.