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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $50.12 | Professional | None | $34.67 | $48.98 | $50.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $53.70 Median $54.95 Typical High $56.23 | Facility | None | $53.70 | $54.95 | $56.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | None | $33.11 | $33.11 | $44.67 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $54.95 Typical High $331.13 | Facility | None | $34.67 | $54.95 | $331.13 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $44.67 Typical High $389.05 | Professional | None | $28.18 | $44.67 | $389.05 |
United Setting Facility Modifier None Typical Low $36.31 Median $37.15 Typical High $83.18 | Facility | None | $36.31 | $37.15 | $83.18 |
United Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $46.77 | Professional | None | $21.88 | $33.11 | $46.77 |
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 $17.38 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $17.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $9.77 Typical High $10.00 | Professional | 53 · Discontinued | $6.92 | $9.77 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $7.41 Typical High $7.41 | Professional | 55 · Aftercare only | $5.13 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $4.90 Typical High $5.01 | Professional | 56 · Pre-op care only | $3.47 | $4.90 | $5.01 |
Where Kansas sits
The same service costs 2.5 times more in Hawaii 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· 14th of 51
$53.70
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.