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 $1.45 Median $1.82 Typical High $4.47 | Facility | None | $1.45 | $1.82 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $1.35 Median $1.82 Typical High $4.47 | Professional | None | $1.35 | $1.82 | $4.47 |
BCBS Kansas Setting Facility Modifier None Typical Low $1.51 Median $1.62 Typical High $1.62 | Facility | None | $1.51 | $1.62 | $1.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
Cigna Setting Facility Modifier None Typical Low $1.38 Median $3.89 Typical High $5.25 | Facility | None | $1.38 | $3.89 | $5.25 |
Cigna Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | None | $1.35 | $1.35 | $1.35 |
Medica Setting Facility Modifier None Typical Low $1.20 Median $4.47 Typical High $4.47 | Facility | None | $1.20 | $4.47 | $4.47 |
Medica Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $2.34 | Professional | None | $1.38 | $1.38 | $2.34 |
United Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $3.39 | Professional | None | $1.35 | $1.35 | $3.39 |
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 $0.68 Median $0.91 Typical High $2.24 | Professional | 52 · Reduced service | $0.68 | $0.91 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.27 Median $0.37 Typical High $0.89 | Professional | 53 · Discontinued | $0.27 | $0.37 | $0.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.28 Typical High $0.66 | Professional | 55 · Aftercare only | $0.20 | $0.28 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.18 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.14 | $0.18 | $0.44 |
Where Kansas sits
The same service costs 3.2 times more in Wyoming than in Maine. 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· 15th of 51
$1.51
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.