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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $398.11 | Professional | None | $275.42 | $389.05 | $398.11 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $371.54 Median $389.05 Typical High $389.05 | Facility | None | $371.54 | $389.05 | $389.05 |
BCBS Kansas Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $331.13 | Professional | None | $239.88 | $239.88 | $331.13 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $2,754.23 | Facility | None | $275.42 | $446.68 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $3,467.37 | Professional | None | $223.87 | $354.81 | $3,467.37 |
United Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $724.44 | Facility | None | $218.78 | $263.03 | $724.44 |
United Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $398.11 | Professional | None | $173.78 | $263.03 | $398.11 |
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 $138.04 Median $194.98 Typical High $199.53 | Professional | 52 · Reduced service | $138.04 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $77.62 Typical High $79.43 | Professional | 53 · Discontinued | $54.95 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $40.74 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $38.90 Typical High $39.81 | Professional | 56 · Pre-op care only | $27.54 | $38.90 | $39.81 |
Where Kansas sits
The same service costs 2.4 times more in Arkansas 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· 23rd of 51
$398
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.