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 $13.18 Median $40.74 Typical High $40.74 | Facility | None | $13.18 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $40.74 | Professional | None | $10.96 | $15.14 | $40.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $12.59 Median $13.18 Typical High $13.18 | Facility | None | $12.59 | $13.18 | $13.18 |
BCBS Kansas Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $32.36 Typical High $43.65 | Facility | None | $11.22 | $32.36 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $40.74 Typical High $40.74 | Facility | None | $11.22 | $40.74 | $40.74 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $18.62 | Professional | None | $10.96 | $10.96 | $18.62 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $28.18 | Professional | None | $11.22 | $11.22 | $28.18 |
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 $5.50 Median $7.59 Typical High $20.42 | Professional | 52 · Reduced service | $5.50 | $7.59 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $3.02 Typical High $8.32 | Professional | 53 · Discontinued | $2.19 | $3.02 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $2.24 Typical High $6.17 | Professional | 55 · Aftercare only | $1.66 | $2.24 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.51 Typical High $4.07 | Professional | 56 · Pre-op care only | $1.10 | $1.51 | $4.07 |
Where Kansas sits
The same service costs 3.7 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· 17th of 51
$12.59
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.