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 $41.69 Median $43.65 Typical High $54.95 | Facility | None | $41.69 | $43.65 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $43.65 | Professional | None | $31.62 | $35.48 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
BCBS Kansas Setting Facility Modifier None Typical Low $60.26 Median $63.10 Typical High $63.10 | Facility | None | $60.26 | $63.10 | $63.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $120.23 Typical High $138.04 | Facility | None | $39.81 | $120.23 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $75.86 Typical High $75.86 | Facility | None | $40.74 | $75.86 | $75.86 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $81.28 Typical High $234.42 | Professional | None | $44.67 | $81.28 | $234.42 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | None | $35.48 | $35.48 | $42.66 |
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 $15.85 Median $17.78 Typical High $21.88 | Professional | 52 · Reduced service | $15.85 | $17.78 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.08 Typical High $8.71 | Professional | 53 · Discontinued | $6.46 | $7.08 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.37 Typical High $6.46 | Professional | 55 · Aftercare only | $4.79 | $5.37 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.55 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.24 | $3.55 | $4.37 |
Where Kansas sits
The same service costs 1.7 times more in Hawaii than in Kentucky. 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· 8th of 51
$43.65
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.