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 $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $5.13 Typical High $5.13 | Professional | None | $2.40 | $5.13 | $5.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $5.37 Median $5.50 Typical High $5.62 | Facility | None | $5.37 | $5.50 | $5.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Facility | None | $2.34 | $2.34 | $2.34 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.34 | Professional | None | $2.00 | $2.00 | $2.34 |
Medica Setting Facility Modifier None Typical Low $2.09 Median $3.39 Typical High $79.43 | Facility | None | $2.09 | $3.39 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.29 Median $2.24 Typical High $19.50 | Professional | None | $1.29 | $2.24 | $19.50 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.95 Typical High $2.45 | Professional | None | $1.26 | $1.95 | $2.45 |
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 $1.20 Median $2.51 Typical High $2.57 | Professional | 52 · Reduced service | $1.20 | $2.51 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $1.00 Typical High $1.02 | Professional | 53 · Discontinued | $0.48 | $1.00 | $1.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.36 Median $0.76 Typical High $0.78 | Professional | 55 · Aftercare only | $0.36 | $0.76 | $0.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.24 Median $0.51 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.24 | $0.51 | $0.52 |
Where Kansas sits
The same service costs 2.2 times more in Kansas than in Delaware. 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· 1st of 51
$4.47
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.