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 $16.22 Typical High $16.22 | Facility | None | $13.18 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | None | $13.18 | $16.22 | $16.22 |
BCBS Kansas Setting Facility Modifier None Typical Low $17.78 Median $18.62 Typical High $18.62 | Facility | None | $17.78 | $18.62 | $18.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $15.85 Typical High $25.12 | Facility | None | $14.13 | $15.85 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $16.22 Typical High $19.50 | Facility | None | $15.49 | $16.22 | $19.50 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None | $13.49 | $13.49 | $16.22 |
United Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None | $13.49 | $13.49 | $16.22 |
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 $6.61 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $6.61 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $2.63 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $2.45 Typical High $2.45 | Professional | 55 · Aftercare only | $1.95 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.62 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.32 | $1.62 | $1.62 |
Where Kansas sits
The same service costs 9.1 times more in Alabama than in Hawaii. 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· 7th of 51
$16.22
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.