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 $38.02 Median $38.02 Typical High $64.57 | Facility | None | $38.02 | $38.02 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | None | $30.90 | $38.02 | $38.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $43.65 Median $45.71 Typical High $45.71 | Facility | None | $43.65 | $45.71 | $45.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $38.02 Typical High $60.26 | Facility | None | $30.90 | $38.02 | $60.26 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $28.84 | Professional | None | $24.55 | $25.70 | $28.84 |
United Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $28.84 | Professional | None | $24.55 | $25.70 | $28.84 |
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 $15.49 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $15.49 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.17 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $4.57 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.80 Typical High $3.80 | Professional | 56 · Pre-op care only | $3.09 | $3.80 | $3.80 |
Where Kansas sits
The same service costs 2.2 times more in Oregon than in Rhode Island. 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· 6th of 51
$38.90
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.