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 $141.25 Median $177.83 Typical High $229.09 | Facility | None | $141.25 | $177.83 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $177.83 | Professional | None | $131.83 | $177.83 | $177.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.02 Median $40.74 Typical High $40.74 | Facility | None | $38.02 | $40.74 | $40.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $549.54 Typical High $630.96 | Facility | None | $165.96 | $549.54 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $389.05 Typical High $389.05 | Facility | None | $28.18 | $389.05 | $389.05 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $28.84 Typical High $52.48 | Professional | None | $28.18 | $28.84 | $52.48 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $302.00 | Professional | None | $120.23 | $120.23 | $302.00 |
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 $66.07 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $66.07 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $26.30 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $19.95 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $17.78 Typical High $17.78 | Professional | 56 · Pre-op care only | $13.18 | $17.78 | $17.78 |
Where Kansas sits
The same service costs 8.7 times more in Texas 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
$40.74
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.