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 $6.46 Median $6.46 Typical High $7.41 | Facility | None | $6.46 | $6.46 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $6.46 Typical High $7.41 | Professional | None | $5.50 | $6.46 | $7.41 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.61 Median $6.92 Typical High $6.92 | Facility | None | $6.61 | $6.92 | $6.92 |
BCBS Kansas Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $23.44 Typical High $26.92 | Facility | None | $6.92 | $23.44 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Medica Setting Facility Modifier None Typical Low $5.25 Median $6.03 Typical High $7.59 | Facility | None | $5.25 | $6.03 | $7.59 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $5.75 Typical High $6.31 | Professional | None | $5.37 | $5.75 | $6.31 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.76 | Professional | None | $5.50 | $5.50 | $6.76 |
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 $2.75 Median $3.24 Typical High $3.72 | Professional | 52 · Reduced service | $2.75 | $3.24 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.29 Typical High $1.48 | Professional | 53 · Discontinued | $1.10 | $1.29 | $1.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.81 Median $0.98 Typical High $1.12 | Professional | 55 · Aftercare only | $0.81 | $0.98 | $1.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.55 Median $0.65 Typical High $0.74 | Professional | 56 · Pre-op care only | $0.55 | $0.65 | $0.74 |
Where Kansas sits
The same service costs 1.9 times more in Alaska than in New Mexico. 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· 6th of 51
$6.61
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.