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 $7.94 Median $9.12 Typical High $41.69 | Facility | None | $7.94 | $9.12 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $41.69 | Professional | None | $6.76 | $9.12 | $41.69 |
BCBS Kansas Setting Facility Modifier None Typical Low $13.18 Median $13.80 Typical High $13.80 | Facility | None | $13.18 | $13.80 | $13.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $19.50 Typical High $26.30 | Facility | None | $6.92 | $19.50 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $52.48 Typical High $52.48 | Facility | None | $10.47 | $52.48 | $52.48 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $15.49 | Professional | None | $9.12 | $9.12 | $15.49 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $18.20 | Professional | None | $7.24 | $7.24 | $18.20 |
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 $3.39 Median $4.57 Typical High $20.89 | Professional | 52 · Reduced service | $3.39 | $4.57 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.82 Typical High $8.32 | Professional | 53 · Discontinued | $1.35 | $1.82 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.38 Typical High $6.31 | Professional | 55 · Aftercare only | $1.00 | $1.38 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.91 Typical High $4.17 | Professional | 56 · Pre-op care only | $0.68 | $0.91 | $4.17 |
Where Kansas sits
The same service costs 6.0 times more in Wyoming 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· 5th of 51
$13.18
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.