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 $1.78 Median $2.45 Typical High $4.47 | Facility | None | $1.78 | $2.45 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $1.66 Median $2.24 Typical High $4.47 | Professional | None | $1.66 | $2.24 | $4.47 |
BCBS Kansas Setting Facility Modifier None Typical Low $2.24 Median $2.34 Typical High $2.34 | Facility | None | $2.24 | $2.34 | $2.34 |
BCBS Kansas Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | None | $1.70 | $1.70 | $1.70 |
Cigna Setting Facility Modifier None Typical Low $1.70 Median $4.79 Typical High $6.46 | Facility | None | $1.70 | $4.79 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | None | $1.66 | $1.66 | $1.66 |
Medica Setting Facility Modifier None Typical Low $1.66 Median $4.37 Typical High $4.37 | Facility | None | $1.66 | $4.37 | $4.37 |
Medica Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $3.47 | Professional | None | $2.04 | $2.04 | $3.47 |
United Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $4.68 | Professional | None | $1.86 | $1.86 | $4.68 |
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 $0.83 Median $1.12 Typical High $2.24 | Professional | 52 · Reduced service | $0.83 | $1.12 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.33 Median $0.45 Typical High $0.89 | Professional | 53 · Discontinued | $0.33 | $0.45 | $0.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.25 Median $0.34 Typical High $0.68 | Professional | 55 · Aftercare only | $0.25 | $0.34 | $0.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.22 Typical High $0.45 | Professional | 56 · Pre-op care only | $0.17 | $0.22 | $0.45 |
Where Kansas sits
The same service costs 3.2 times more in Texas 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
$2.24
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.