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 $3.63 Median $4.57 Typical High $21.88 | Facility | None | $3.63 | $4.57 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $4.57 Typical High $21.88 | Professional | None | $3.39 | $4.57 | $21.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $11.75 Median $12.30 Typical High $12.30 | Facility | None | $11.75 | $12.30 | $12.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $14.45 Typical High $16.60 | Facility | None | $4.27 | $14.45 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Medica Setting Facility Modifier None Typical Low $5.37 Median $21.88 Typical High $21.88 | Facility | None | $5.37 | $21.88 | $21.88 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $5.50 Typical High $57.54 | Professional | None | $5.25 | $5.50 | $57.54 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $81.28 | Professional | None | $30.90 | $30.90 | $81.28 |
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 $1.70 Median $2.29 Typical High $10.96 | Professional | 52 · Reduced service | $1.70 | $2.29 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.91 Typical High $4.37 | Professional | 53 · Discontinued | $0.68 | $0.91 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.50 Median $0.69 Typical High $3.31 | Professional | 55 · Aftercare only | $0.50 | $0.69 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.46 Typical High $2.19 | Professional | 56 · Pre-op care only | $0.34 | $0.46 | $2.19 |
Where Kansas sits
The same service costs 9.1 times more in Rhode Island than in Florida. 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· 16th of 51
$11.75
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.