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 $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $6.76 Typical High $6.92 | Professional | None | $3.24 | $6.76 | $6.92 |
BCBS Kansas Setting Facility Modifier None Typical Low $7.59 Median $7.94 Typical High $7.94 | Facility | None | $7.59 | $7.94 | $7.94 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.55 | Professional | None | $2.95 | $2.95 | $3.55 |
Medica Setting Facility Modifier None Typical Low $2.82 Median $4.57 Typical High $79.43 | Facility | None | $2.82 | $4.57 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.74 Median $3.02 Typical High $26.30 | Professional | None | $1.74 | $3.02 | $26.30 |
United Setting Professional Modifier None Typical Low $1.74 Median $2.63 Typical High $3.39 | Professional | None | $1.74 | $2.63 | $3.39 |
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 $1.58 Median $3.39 Typical High $3.47 | Professional | 52 · Reduced service | $1.58 | $3.39 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $1.38 Typical High $1.38 | Professional | 53 · Discontinued | $0.65 | $1.38 | $1.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.48 Median $1.02 Typical High $1.05 | Professional | 55 · Aftercare only | $0.48 | $1.02 | $1.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.68 Typical High $0.69 | Professional | 56 · Pre-op care only | $0.32 | $0.68 | $0.69 |
Where Kansas sits
The same service costs 2.6 times more in Kansas than in New Hampshire. 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
$6.76
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.