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 $81.28 Typical High $104.71 | Facility | None | $66.07 | $81.28 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $83.18 | Professional | None | $60.26 | $67.61 | $83.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $37.15 | Facility | None | $35.48 | $37.15 | $37.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $251.19 Typical High $288.40 | Facility | None | $75.86 | $251.19 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $109.65 Typical High $109.65 | Facility | None | $43.65 | $109.65 | $109.65 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $79.43 Typical High $162.18 | Professional | None | $43.65 | $79.43 | $162.18 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | None | $56.23 | $56.23 | $67.61 |
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 $30.20 Median $33.88 Typical High $40.74 | Professional | 52 · Reduced service | $30.20 | $33.88 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.49 Typical High $16.60 | Professional | 53 · Discontinued | $12.02 | $13.49 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.23 Typical High $12.30 | Professional | 55 · Aftercare only | $9.12 | $10.23 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.76 Typical High $8.32 | Professional | 56 · Pre-op care only | $6.03 | $6.76 | $8.32 |
Where Kansas sits
The same service costs 2.0 times more in Wyoming than in Hawaii. 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· 34th of 51
$60.26
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.