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 $4.90 Median $12.02 Typical High $12.02 | Facility | None | $4.90 | $12.02 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $6.17 Typical High $12.02 | Professional | None | $4.47 | $6.17 | $12.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $7.76 Median $8.13 Typical High $8.13 | Facility | None | $7.76 | $8.13 | $8.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $13.18 Typical High $17.78 | Facility | None | $4.57 | $13.18 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Medica Setting Facility Modifier None Typical Low $5.62 Median $12.02 Typical High $12.02 | Facility | None | $5.62 | $12.02 | $12.02 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $8.13 | Professional | None | $4.79 | $4.79 | $8.13 |
United Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $9.77 | Professional | None | $4.17 | $4.17 | $9.77 |
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 $2.24 Median $3.09 Typical High $6.03 | Professional | 52 · Reduced service | $2.24 | $3.09 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.23 Typical High $2.40 | Professional | 53 · Discontinued | $0.89 | $1.23 | $2.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.68 Median $0.91 Typical High $1.82 | Professional | 55 · Aftercare only | $0.68 | $0.91 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.62 Typical High $1.20 | Professional | 56 · Pre-op care only | $0.45 | $0.62 | $1.20 |
Where Kansas sits
The same service costs 5.9 times more in Texas than in Rhode Island. 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· 6th of 51
$7.76
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.