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 $1.41 Median $1.41 Typical High $2.14 | Facility | None | $1.41 | $1.41 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $1.41 Median $1.78 Typical High $2.14 | Professional | None | $1.41 | $1.78 | $2.14 |
BCBS Kansas Setting Facility Modifier None Typical Low $1.82 Median $1.91 Typical High $1.91 | Facility | None | $1.82 | $1.91 | $1.91 |
BCBS Kansas Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Cigna Setting Facility Modifier None Typical Low $1.62 Median $4.57 Typical High $6.17 | Facility | None | $1.62 | $4.57 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Medica Setting Facility Modifier None Typical Low $1.29 Median $1.29 Typical High $1.82 | Facility | None | $1.29 | $1.29 | $1.82 |
Medica Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $2.09 | Professional | None | $1.55 | $1.55 | $2.09 |
United Setting Facility Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | None | $1.58 | $1.58 | $1.58 |
United Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $2.34 | Professional | None | $1.58 | $1.58 | $2.34 |
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 $0.71 Median $0.89 Typical High $1.07 | Professional | 52 · Reduced service | $0.71 | $0.89 | $1.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.28 Median $0.35 Typical High $0.43 | Professional | 53 · Discontinued | $0.28 | $0.35 | $0.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.27 Typical High $0.32 | Professional | 55 · Aftercare only | $0.21 | $0.27 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.18 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.14 | $0.18 | $0.22 |
Where Kansas sits
The same service costs 1.7 times more in Arizona 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· 12th of 51
$1.82
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.