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 $53.70 Median $53.70 Typical High $87.10 | Facility | None | $53.70 | $53.70 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $87.10 | Professional | None | $54.95 | $79.43 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $112.20 | Facility | None | $104.71 | $104.71 | $112.20 |
BCBS Kansas Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | None | $50.12 | $50.12 | $67.61 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $83.18 Typical High $537.03 | Facility | None | $54.95 | $83.18 | $537.03 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $831.76 | Professional | None | $38.90 | $57.54 | $831.76 |
United Setting Facility Modifier None Typical Low $67.61 Median $77.62 Typical High $138.04 | Facility | None | $67.61 | $77.62 | $138.04 |
United Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $67.61 | Professional | None | $33.88 | $50.12 | $67.61 |
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 $27.54 Median $39.81 Typical High $43.65 | Professional | 52 · Reduced service | $27.54 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $15.85 Typical High $17.38 | Professional | 53 · Discontinued | $10.96 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $12.02 Typical High $12.88 | Professional | 55 · Aftercare only | $8.32 | $12.02 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $7.94 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.50 | $7.94 | $8.71 |
Where Kansas sits
The same service costs 4.1 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· 5th of 51
$105
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.