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 $1.70 Median $2.88 Typical High $3.39 | Facility | None | $1.70 | $2.88 | $3.39 |
Aetna Setting Professional Modifier None Typical Low $1.70 Median $2.57 Typical High $3.16 | Professional | None | $1.70 | $2.57 | $3.16 |
BCBS Kansas Setting Facility Modifier None Typical Low $1.91 Median $2.00 Typical High $2.00 | Facility | None | $1.91 | $2.00 | $2.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $6.76 Typical High $8.91 | Facility | None | $2.34 | $6.76 | $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 $0.66 Median $1.12 Typical High $1.82 | Facility | None | $0.66 | $1.12 | $1.82 |
Medica Setting Professional Modifier None Typical Low $1.32 Median $1.41 Typical High $1.78 | Professional | None | $1.32 | $1.41 | $1.78 |
United Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $3.16 | Professional | None | $1.66 | $1.66 | $3.16 |
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 $0.83 Median $1.29 Typical High $1.58 | Professional | 52 · Reduced service | $0.83 | $1.29 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.34 Median $0.52 Typical High $0.63 | Professional | 53 · Discontinued | $0.34 | $0.52 | $0.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.25 Median $0.39 Typical High $0.47 | Professional | 55 · Aftercare only | $0.25 | $0.39 | $0.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.26 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.17 | $0.26 | $0.31 |
Where Kansas sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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· 42nd of 51
$2.00
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.