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 $13.49 Median $16.60 Typical High $19.50 | Facility | None | $13.49 | $16.60 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $16.60 | Professional | None | $11.48 | $15.49 | $16.60 |
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 $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $33.11 Typical High $44.67 | Facility | None | $11.48 | $33.11 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $17.78 Typical High $18.62 | Facility | None | $12.88 | $17.78 | $18.62 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $19.05 | Professional | None | $13.18 | $13.18 | $19.05 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $19.95 | Professional | None | $11.75 | $11.75 | $19.95 |
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 $5.62 Median $7.76 Typical High $8.32 | Professional | 52 · Reduced service | $5.62 | $7.76 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $3.09 Typical High $3.31 | Professional | 53 · Discontinued | $2.29 | $3.09 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $2.29 Typical High $2.51 | Professional | 55 · Aftercare only | $1.70 | $2.29 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.55 Typical High $1.66 | Professional | 56 · Pre-op care only | $1.12 | $1.55 | $1.66 |
Where Kansas sits
The same service costs 1.8 times more in Alaska than in Georgia. 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
$15.14
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.