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 $6.92 Median $16.98 Typical High $16.98 | Facility | None | $6.92 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $16.98 | Professional | None | $5.62 | $7.59 | $16.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.31 Median $6.61 Typical High $6.61 | Facility | None | $6.31 | $6.61 | $6.61 |
BCBS Kansas Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $16.22 Typical High $21.88 | Facility | None | $5.75 | $16.22 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Medica Setting Facility Modifier None Typical Low $3.63 Median $16.98 Typical High $16.98 | Facility | None | $3.63 | $16.98 | $16.98 |
Medica Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $5.37 | Professional | None | $3.16 | $3.16 | $5.37 |
United Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $14.79 | Professional | None | $5.89 | $5.89 | $14.79 |
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 $2.82 Median $3.80 Typical High $8.51 | Professional | 52 · Reduced service | $2.82 | $3.80 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.51 Typical High $3.47 | Professional | 53 · Discontinued | $1.12 | $1.51 | $3.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $1.12 Typical High $2.57 | Professional | 55 · Aftercare only | $0.83 | $1.12 | $2.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.76 Typical High $1.70 | Professional | 56 · Pre-op care only | $0.56 | $0.76 | $1.70 |
Where Kansas sits
The same service costs 3.2 times more in Oklahoma than in North Dakota. 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· 21st of 51
$6.31
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.