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 $2.69 Median $3.09 Typical High $3.39 | Facility | None | $2.69 | $3.09 | $3.39 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $3.09 Typical High $3.39 | Professional | None | $2.29 | $3.09 | $3.39 |
BCBS Kansas Setting Facility Modifier None Typical Low $5.01 Median $5.25 Typical High $5.25 | Facility | None | $5.01 | $5.25 | $5.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $6.61 Typical High $8.91 | Facility | None | $2.29 | $6.61 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Medica Setting Facility Modifier None Typical Low $3.72 Median $13.18 Typical High $13.18 | Facility | None | $3.72 | $13.18 | $13.18 |
Medica Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $12.59 | Professional | None | $3.47 | $3.47 | $12.59 |
United Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $6.17 | Professional | None | $2.45 | $2.45 | $6.17 |
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 $1.12 Median $1.55 Typical High $1.70 | Professional | 52 · Reduced service | $1.12 | $1.55 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.62 Typical High $0.68 | Professional | 53 · Discontinued | $0.45 | $0.62 | $0.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.34 Median $0.46 Typical High $0.50 | Professional | 55 · Aftercare only | $0.34 | $0.46 | $0.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.31 Typical High $0.34 | Professional | 56 · Pre-op care only | $0.23 | $0.31 | $0.34 |
Where Kansas sits
The same service costs 4.8 times more in Oklahoma 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· 2nd of 51
$5.01
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.