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 $3.16 Median $5.01 Typical High $9.55 | Facility | None | $3.16 | $5.01 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.98 Typical High $9.55 | Professional | None | $2.95 | $3.98 | $9.55 |
BCBS Kansas Setting Facility Modifier None Typical Low $4.27 Median $4.47 Typical High $4.47 | Facility | None | $4.27 | $4.47 | $4.47 |
BCBS Kansas Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Medica Setting Facility Modifier None Typical Low $3.16 Median $12.02 Typical High $12.02 | Facility | None | $3.16 | $12.02 | $12.02 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $4.07 Typical High $7.59 | Professional | None | $3.98 | $4.07 | $7.59 |
United Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $7.08 | Professional | None | $3.63 | $3.63 | $7.08 |
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 $1.48 Median $2.00 Typical High $4.79 | Professional | 52 · Reduced service | $1.48 | $2.00 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.79 Typical High $1.91 | Professional | 53 · Discontinued | $0.59 | $0.79 | $1.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.44 Median $0.60 Typical High $1.45 | Professional | 55 · Aftercare only | $0.44 | $0.60 | $1.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.40 Typical High $0.95 | Professional | 56 · Pre-op care only | $0.28 | $0.40 | $0.95 |
Where Kansas sits
The same service costs 2.8 times more in Wyoming than in Florida. 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
$4.27
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.