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 $0.66 Median $0.81 Typical High $0.81 | Facility | None | $0.66 | $0.81 | $0.81 |
Aetna Setting Professional Modifier None Typical Low $0.66 Median $0.81 Typical High $0.81 | Professional | None | $0.66 | $0.81 | $0.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $0.87 Median $0.93 Typical High $0.93 | Facility | None | $0.87 | $0.93 | $0.93 |
BCBS Kansas Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | None | $0.71 | $0.71 | $0.71 |
Cigna Setting Facility Modifier None Typical Low $0.71 Median $0.81 Typical High $1.26 | Facility | None | $0.71 | $0.81 | $1.26 |
Cigna Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | None | $0.71 | $0.71 | $0.71 |
Medica Setting Facility Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Facility | None | $0.81 | $0.81 | $0.81 |
Medica Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.81 | Professional | None | $0.68 | $0.68 | $0.81 |
United Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.79 | Professional | None | $0.68 | $0.68 | $0.79 |
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 $0.33 Median $0.41 Typical High $0.41 | Professional | 52 · Reduced service | $0.33 | $0.41 | $0.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.13 Median $0.16 Typical High $0.16 | Professional | 53 · Discontinued | $0.13 | $0.16 | $0.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.10 Median $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.10 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.07 | $0.08 | $0.08 |
Where Kansas sits
The same service costs 1.7 times more in Arizona than in North Dakota. 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· 5th of 51
$0.81
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.