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 $1.51 Median $1.51 Typical High $2.04 | Facility | None | $1.51 | $1.51 | $2.04 |
Aetna Setting Professional Modifier None Typical Low $1.48 Median $1.66 Typical High $2.04 | Professional | None | $1.48 | $1.66 | $2.04 |
BCBS Kansas Setting Facility Modifier None Typical Low $1.74 Median $1.82 Typical High $1.82 | Facility | None | $1.74 | $1.82 | $1.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | None | $1.48 | $1.48 | $1.48 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $5.13 Typical High $5.75 | Facility | None | $1.51 | $5.13 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | None | $1.48 | $1.48 | $1.48 |
Medica Setting Facility Modifier None Typical Low $1.41 Median $1.45 Typical High $1.78 | Facility | None | $1.41 | $1.45 | $1.78 |
Medica Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.78 | Professional | None | $1.51 | $1.51 | $1.78 |
United Setting Facility Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Facility | None | $1.48 | $1.48 | $1.48 |
United Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.78 | Professional | None | $1.51 | $1.51 | $1.78 |
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 $0.76 Median $0.83 Typical High $1.00 | Professional | 52 · Reduced service | $0.76 | $0.83 | $1.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.30 Median $0.33 Typical High $0.40 | Professional | 53 · Discontinued | $0.30 | $0.33 | $0.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.22 Median $0.25 Typical High $0.30 | Professional | 55 · Aftercare only | $0.22 | $0.25 | $0.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.17 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.15 | $0.17 | $0.20 |
Where Kansas sits
The same service costs 1.5 times more in Alaska than in Alabama. 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
$1.74
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.