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 $1.00 Median $3.47 Typical High $3.47 | Facility | None | $1.00 | $3.47 | $3.47 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $1.05 Typical High $3.47 | Professional | None | $0.76 | $1.05 | $3.47 |
BCBS Kansas Setting Facility Modifier None Typical Low $0.91 Median $0.95 Typical High $0.95 | Facility | None | $0.91 | $0.95 | $0.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Cigna Setting Facility Modifier None Typical Low $0.78 Median $2.24 Typical High $3.02 | Facility | None | $0.78 | $2.24 | $3.02 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Medica Setting Facility Modifier None Typical Low $0.95 Median $3.47 Typical High $3.47 | Facility | None | $0.95 | $3.47 | $3.47 |
Medica Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $1.38 | Professional | None | $0.81 | $0.81 | $1.38 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $2.14 | Professional | None | $0.85 | $0.85 | $2.14 |
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 $0.38 Median $0.52 Typical High $1.74 | Professional | 52 · Reduced service | $0.38 | $0.52 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.21 Typical High $0.71 | Professional | 53 · Discontinued | $0.15 | $0.21 | $0.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.16 Typical High $0.52 | Professional | 55 · Aftercare only | $0.11 | $0.16 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.10 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.08 | $0.10 | $0.35 |
Where Kansas sits
The same service costs 3.9 times more in Wyoming than in Delaware. 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· 11th of 51
$0.91
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.