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 $7.76 Median $10.47 Typical High $16.22 | Facility | None | $7.76 | $10.47 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $16.22 | Professional | None | $7.76 | $10.47 | $16.22 |
BCBS Kansas Setting Facility Modifier None Typical Low $15.14 Median $15.85 Typical High $15.85 | Facility | None | $15.14 | $15.85 | $15.85 |
BCBS Kansas Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $22.91 Typical High $30.20 | Facility | None | $7.94 | $22.91 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Medica Setting Facility Modifier None Typical Low $4.79 Median $16.22 Typical High $16.22 | Facility | None | $4.79 | $16.22 | $16.22 |
Medica Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $13.80 | Professional | None | $9.33 | $9.33 | $13.80 |
United Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $13.80 | Professional | None | $8.13 | $8.13 | $13.80 |
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 $3.89 Median $5.25 Typical High $8.13 | Professional | 52 · Reduced service | $3.89 | $5.25 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $2.14 Typical High $3.31 | Professional | 53 · Discontinued | $1.55 | $2.14 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.17 Median $1.58 Typical High $2.45 | Professional | 55 · Aftercare only | $1.17 | $1.58 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $1.07 Typical High $1.62 | Professional | 56 · Pre-op care only | $0.78 | $1.07 | $1.62 |
Where Kansas sits
The same service costs 2.6 times more in Texas 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· 3rd of 51
$13.80
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.