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 $25.70 Median $43.65 Typical High $43.65 | Facility | None | $25.70 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $43.65 | Professional | None | $20.89 | $28.84 | $43.65 |
BCBS Kansas Setting Facility Modifier None Typical Low $25.12 Median $26.30 Typical High $26.30 | Facility | None | $25.12 | $26.30 | $26.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $61.66 Typical High $83.18 | Facility | None | $21.38 | $61.66 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $36.31 Typical High $36.31 | Facility | None | $19.05 | $36.31 | $36.31 |
Medica Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $32.36 | Professional | None | $19.05 | $19.05 | $32.36 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $37.15 | Professional | None | $21.88 | $21.88 | $37.15 |
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 $10.47 Median $14.45 Typical High $21.88 | Professional | 52 · Reduced service | $10.47 | $14.45 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.75 Typical High $8.71 | Professional | 53 · Discontinued | $4.27 | $5.75 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $4.27 Typical High $6.61 | Professional | 55 · Aftercare only | $3.16 | $4.27 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.88 Typical High $4.37 | Professional | 56 · Pre-op care only | $2.09 | $2.88 | $4.37 |
Where Kansas sits
The same service costs 2.6 times more in Wyoming than in Texas. 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· 10th of 51
$25.12
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.