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 $16.60 | Facility | None | $13.18 | $13.18 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $16.60 | Professional | None | $13.18 | $16.60 | $16.60 |
BCBS Kansas Setting Facility Modifier None Typical Low $16.60 Median $17.38 Typical High $17.38 | Facility | None | $16.60 | $17.38 | $17.38 |
BCBS Kansas 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 $13.18 Median $16.60 Typical High $100.00 | Facility | None | $13.18 | $16.60 | $100.00 |
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 $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $6.61 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $2.63 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.51 Typical High $2.51 | Professional | 55 · Aftercare only | $2.00 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.66 Typical High $1.66 | Professional | 56 · Pre-op care only | $1.32 | $1.66 | $1.66 |
Where Kansas sits
The same service costs 1412.5 times more in Wyoming than in Missouri. 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· 9th of 51
$16.60
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.