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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $77.62 | Professional | None | $48.98 | $70.79 | $77.62 |
BCBS Kansas Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $114.82 | Facility | None | $109.65 | $114.82 | $114.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | None | $41.69 | $41.69 | $56.23 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $436.52 | Facility | None | $48.98 | $74.13 | $436.52 |
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 $44.67 Median $44.67 Typical High $112.20 | Facility | None | $44.67 | $44.67 | $112.20 |
United Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $60.26 | Professional | None | $29.51 | $44.67 | $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 $24.55 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $24.55 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $14.13 Typical High $15.49 | Professional | 53 · Discontinued | $9.77 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $10.47 Typical High $11.48 | Professional | 55 · Aftercare only | $7.41 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $7.08 Typical High $7.76 | Professional | 56 · Pre-op care only | $4.90 | $7.08 | $7.76 |
Where Kansas sits
The same service costs 2.6 times more in Kansas than in Arizona. 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· 1st of 51
$107
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.