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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $114.82 | Professional | None | $79.43 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $117.49 | Professional | None | $104.71 | $117.49 | $117.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $194.98 Median $204.17 Typical High $204.17 | Facility | None | $194.98 | $204.17 | $204.17 |
BCBS Kansas Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | None | $72.44 | $72.44 | $100.00 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $128.82 Typical High $794.33 | Facility | None | $81.28 | $128.82 | $794.33 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $1,023.29 | Professional | None | $64.57 | $102.33 | $1,023.29 |
United Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $208.93 | Facility | None | $60.26 | $75.86 | $208.93 |
United Setting Professional Modifier None Typical Low $51.29 Median $75.86 Typical High $117.49 | Professional | None | $51.29 | $75.86 | $117.49 |
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 $39.81 Median $56.23 Typical High $57.54 | Professional | 52 · Reduced service | $39.81 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $15.85 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $16.98 Typical High $17.38 | Professional | 55 · Aftercare only | $12.02 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $11.48 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.94 | $11.48 | $11.48 |
Where Kansas sits
The same service costs 2.9 times more in Montana 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· 4th of 51
$186
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.