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 $51.29 Median $51.29 Typical High $63.10 | Facility | None | $51.29 | $51.29 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | None | $51.29 | $63.10 | $63.10 |
BCBS Kansas Setting Facility Modifier None Typical Low $30.90 Median $32.36 Typical High $32.36 | Facility | None | $30.90 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $61.66 Typical High $97.72 | Facility | None | $54.95 | $61.66 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $83.18 | Facility | None | $47.86 | $47.86 | $83.18 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | None | $52.48 | $52.48 | $63.10 |
United Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $64.57 | Facility | None | $40.74 | $40.74 | $64.57 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | None | $52.48 | $52.48 | $61.66 |
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 $25.12 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $25.12 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $10.23 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $7.59 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.13 | $6.31 | $6.31 |
Where Kansas sits
The same service costs 6.6 times more in Alabama than in Kansas. 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· 51st of 51
$32.36
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.