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 $7.59 Median $7.59 Typical High $9.55 | Facility | None | $7.59 | $7.59 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $9.55 Typical High $9.55 | Professional | None | $7.59 | $9.55 | $9.55 |
BCBS Kansas Setting Facility Modifier None Typical Low $8.71 Median $9.12 Typical High $9.12 | Facility | None | $8.71 | $9.12 | $9.12 |
BCBS Kansas Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $9.55 Typical High $11.22 | Facility | None | $7.59 | $9.55 | $11.22 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.77 | Professional | None | $9.55 | $9.55 | $9.77 |
United Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
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 $3.80 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $3.80 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.91 Typical High $1.91 | Professional | 53 · Discontinued | $1.51 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.41 Typical High $1.41 | Professional | 55 · Aftercare only | $1.12 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.95 Typical High $0.95 | Professional | 56 · Pre-op care only | $0.76 | $0.95 | $0.95 |
Where Kansas sits
The same service costs 13.8 times more in Alaska than in New York. 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· 27th of 51
$9.12
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.