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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $33.11 Typical High $33.11 | Professional | None | $15.49 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $7.76 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $3.09 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $4.90 Typical High $5.01 | Professional | 55 · Aftercare only | $2.29 | $4.90 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.55 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $1.55 | $3.31 | $3.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $22.91 Median $23.99 Typical High $23.99 | Facility | None | $22.91 | $23.99 | $23.99 |
BCBS Kansas Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $58.88 | Facility | None | $14.13 | $20.89 | $58.88 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $125.89 | Professional | None | $11.75 | $13.18 | $125.89 |
United Setting Professional Modifier None Typical Low $8.71 Median $13.18 Typical High $16.60 | Professional | None | $8.71 | $13.18 | $16.60 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | KX · Policy requirements met | $20.42 | $20.42 | $20.42 |
Where Kansas sits
The same service costs 2.6 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· 11th of 51
$22.91
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.