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 $13.18 Median $13.18 Typical High $15.85 | Facility | None | $13.18 | $13.18 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $14.79 Typical High $15.85 | Professional | None | $13.18 | $14.79 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $10.47 Median $10.96 Typical High $11.22 | Facility | None | $10.47 | $10.96 | $11.22 |
BCBS Kansas Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $19.95 | Professional | None | $16.98 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $14.13 Typical High $29.51 | Facility | None | $12.30 | $14.13 | $29.51 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $38.02 Typical High $165.96 | Professional | None | $17.38 | $38.02 | $165.96 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $15.85 | Facility | None | $12.88 | $12.88 | $15.85 |
United Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $25.12 | Professional | None | $15.85 | $19.50 | $25.12 |
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 $6.61 Median $7.41 Typical High $7.94 | Professional | 52 · Reduced service | $6.61 | $7.41 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.95 Typical High $3.16 | Professional | 53 · Discontinued | $2.63 | $2.95 | $3.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.24 Typical High $2.40 | Professional | 55 · Aftercare only | $2.00 | $2.24 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.48 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.32 | $1.48 | $1.58 |
Where Kansas sits
The same service costs 2.8 times more in Alaska than in Louisiana. 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· 16th of 51
$19.50
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.