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 $4.17 Median $7.08 Typical High $12.02 | Facility | None | $4.17 | $7.08 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $5.37 Typical High $7.08 | Professional | None | $3.89 | $5.37 | $7.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.03 Median $6.31 Typical High $6.31 | Facility | None | $6.03 | $6.31 | $6.31 |
BCBS Kansas Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $11.48 Typical High $15.14 | Facility | None | $3.98 | $11.48 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Medica Setting Facility Modifier None Typical Low $4.07 Median $7.08 Typical High $11.48 | Facility | None | $4.07 | $7.08 | $11.48 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $4.90 | Professional | None | $3.98 | $3.98 | $4.90 |
United Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | None | $10.47 | $10.47 | $10.72 |
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 $1.95 Median $2.63 Typical High $3.55 | Professional | 52 · Reduced service | $1.95 | $2.63 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $1.07 Typical High $1.41 | Professional | 53 · Discontinued | $0.78 | $1.07 | $1.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.59 Median $0.79 Typical High $1.07 | Professional | 55 · Aftercare only | $0.59 | $0.79 | $1.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.52 Typical High $0.71 | Professional | 56 · Pre-op care only | $0.39 | $0.52 | $0.71 |
Where Kansas sits
The same service costs 3.2 times more in Hawaii than in Georgia. 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· 24th of 51
$6.03
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.