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 $66.07 Median $66.07 Typical High $91.20 | Facility | None | $66.07 | $66.07 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $91.20 | Professional | None | $66.07 | $72.44 | $91.20 |
BCBS Kansas Setting Facility Modifier None Typical Low $67.61 Median $70.79 Typical High $70.79 | Facility | None | $67.61 | $70.79 | $70.79 |
BCBS Kansas Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $138.04 | Facility | None | $77.62 | $89.13 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $57.54 Typical High $81.28 | Facility | None | $54.95 | $57.54 | $81.28 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $123.03 | Professional | None | $72.44 | $72.44 | $123.03 |
United Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $144.54 | Professional | None | $75.86 | $75.86 | $144.54 |
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 $33.11 Median $36.31 Typical High $45.71 | Professional | 52 · Reduced service | $33.11 | $36.31 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.45 Typical High $18.20 | Professional | 53 · Discontinued | $13.18 | $14.45 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.96 Typical High $13.49 | Professional | 55 · Aftercare only | $10.00 | $10.96 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.24 Typical High $9.12 | Professional | 56 · Pre-op care only | $6.61 | $7.24 | $9.12 |
Where Kansas sits
The same service costs 25.1 times more in Alabama than in Nebraska. 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· 49th of 51
$70.79
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.