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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $234.42 | Professional | None | $151.36 | $213.80 | $234.42 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | None | $208.93 | $208.93 | $239.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $223.87 Median $234.42 Typical High $234.42 | Facility | None | $223.87 | $234.42 | $234.42 |
BCBS Kansas Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Professional | None | $104.71 | $104.71 | $141.25 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $213.80 Typical High $1,288.25 | Facility | None | $147.91 | $213.80 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $162.18 Typical High $1,380.38 | Professional | None | $95.50 | $162.18 | $1,380.38 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $331.13 | Facility | None | $281.84 | $281.84 | $331.13 |
United Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $181.97 | Professional | None | $91.20 | $134.90 | $181.97 |
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 $75.86 Median $107.15 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $42.66 Typical High $46.77 | Professional | 53 · Discontinued | $30.20 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $32.36 Typical High $35.48 | Professional | 55 · Aftercare only | $22.39 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $21.38 Typical High $23.44 | Professional | 56 · Pre-op care only | $15.14 | $21.38 | $23.44 |
Where Kansas sits
The same service costs 2.2 times more in Hawaii 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· 12th of 51
$234
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.