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 $14.13 Median $14.13 Typical High $17.78 | Facility | None | $14.13 | $14.13 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | None | $14.13 | $14.13 | $17.78 |
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 $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $17.38 Typical High $27.54 | Facility | None | $15.49 | $17.38 | $27.54 |
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 $11.75 Median $13.49 Typical High $19.05 | Facility | None | $11.75 | $13.49 | $19.05 |
Medica Setting Professional Modifier None Typical Low $1.78 Median $4.90 Typical High $56.23 | Professional | None | $1.78 | $4.90 | $56.23 |
United Setting Professional Modifier None Typical Low $1.45 Median $2.09 Typical High $2.95 | Professional | None | $1.45 | $2.09 | $2.95 |
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 $7.08 Median $7.08 Typical High $8.91 | Professional | 52 · Reduced service | $7.08 | $7.08 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.55 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.14 Typical High $2.69 | Professional | 55 · Aftercare only | $2.14 | $2.14 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $1.78 |
Where Kansas sits
The same service costs 4.8 times more in Maryland 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· 38th of 51
$11.75
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.