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 $14.45 Median $21.88 Typical High $21.88 | Facility | None | $14.45 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $21.88 | Professional | None | $12.02 | $16.22 | $21.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $16.98 Median $17.78 Typical High $17.78 | Facility | None | $16.98 | $17.78 | $17.78 |
BCBS Kansas Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $51.29 Typical High $58.88 | Facility | None | $15.14 | $51.29 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $21.38 Typical High $21.38 | Facility | None | $10.47 | $21.38 | $21.38 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $66.07 | Professional | None | $11.22 | $11.75 | $66.07 |
United Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $67.61 | Professional | None | $12.30 | $12.30 | $67.61 |
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 $6.03 Median $8.13 Typical High $10.96 | Professional | 52 · Reduced service | $6.03 | $8.13 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $3.24 Typical High $4.37 | Professional | 53 · Discontinued | $2.40 | $3.24 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.45 Typical High $3.24 | Professional | 55 · Aftercare only | $1.82 | $2.45 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.62 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.20 | $1.62 | $2.19 |
Where Kansas sits
The same service costs 1.9 times more in Alaska than in Pennsylvania. 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· 5th of 51
$16.98
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.