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 $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $6.46 Typical High $6.61 | Professional | None | $3.02 | $6.46 | $6.61 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.46 Median $6.76 Typical High $6.76 | Facility | None | $6.46 | $6.76 | $6.76 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.02 | Professional | None | $2.57 | $2.57 | $3.02 |
Medica Setting Facility Modifier None Typical Low $2.69 Median $4.37 Typical High $79.43 | Facility | None | $2.69 | $4.37 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.66 Median $2.88 Typical High $25.12 | Professional | None | $1.66 | $2.88 | $25.12 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.51 Typical High $3.24 | Professional | None | $1.62 | $2.51 | $3.24 |
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 $1.51 Median $3.24 Typical High $3.31 | Professional | 52 · Reduced service | $1.51 | $3.24 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $1.29 Typical High $1.32 | Professional | 53 · Discontinued | $0.62 | $1.29 | $1.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.46 Median $0.98 Typical High $1.00 | Professional | 55 · Aftercare only | $0.46 | $0.98 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.65 Typical High $0.66 | Professional | 56 · Pre-op care only | $0.31 | $0.65 | $0.66 |
Where Kansas sits
The same service costs 2.3 times more in Kansas than in Utah. 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
$6.03
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.