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 $26.30 Median $38.02 Typical High $56.23 | Facility | None | $26.30 | $38.02 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $35.48 Typical High $54.95 | Professional | None | $25.12 | $35.48 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $50.12 Typical High $67.61 | Professional | None | $25.12 | $50.12 | $67.61 |
BCBS Kansas Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $85.11 | Facility | None | $81.28 | $81.28 | $85.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $63.10 | Professional | None | $34.67 | $40.74 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $151.36 Typical High $194.98 | Facility | None | $95.50 | $151.36 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $45.71 Typical High $74.13 | Professional | None | $26.30 | $45.71 | $74.13 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $47.86 Typical High $63.10 | Facility | None | $33.88 | $47.86 | $63.10 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $223.87 Typical High $354.81 | Professional | None | $45.71 | $223.87 | $354.81 |
United Setting Professional Modifier None Typical Low $26.30 Median $41.69 Typical High $53.70 | Professional | None | $26.30 | $41.69 | $53.70 |
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 $14.79 Median $17.38 Typical High $27.54 | Professional | 52 · Reduced service | $14.79 | $17.38 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $5.25 Typical High $8.32 | Professional | 55 · Aftercare only | $4.47 | $5.25 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $3.47 Typical High $5.50 | Professional | 56 · Pre-op care only | $2.95 | $3.47 | $5.50 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $44.67 Median $54.95 Typical High $72.44 | Professional | 25 · Same-day visit | $44.67 | $54.95 | $72.44 |
Where Kansas sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 19th of 51
$45.71
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.