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 $10.96 Median $12.59 Typical High $44.67 | Facility | None | $10.96 | $12.59 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $44.67 | Professional | None | $8.51 | $11.48 | $44.67 |
BCBS Kansas Setting Facility Modifier None Typical Low $15.85 Median $16.60 Typical High $16.60 | Facility | None | $15.85 | $16.60 | $16.60 |
BCBS Kansas Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $25.12 Typical High $33.11 | Facility | None | $8.71 | $25.12 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $41.69 Typical High $41.69 | Facility | None | $13.80 | $41.69 | $41.69 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $19.95 | Professional | None | $11.75 | $11.75 | $19.95 |
United Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $23.44 | Professional | None | $9.33 | $9.33 | $23.44 |
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 $4.27 Median $5.75 Typical High $22.39 | Professional | 52 · Reduced service | $4.27 | $5.75 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.29 Typical High $8.91 | Professional | 53 · Discontinued | $1.70 | $2.29 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.74 Typical High $6.61 | Professional | 55 · Aftercare only | $1.29 | $1.74 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $1.15 Typical High $4.47 | Professional | 56 · Pre-op care only | $0.85 | $1.15 | $4.47 |
Where Kansas sits
The same service costs 6.5 times more in Oklahoma than in Alabama. 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· 6th of 51
$15.85
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.