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 $1.23 Median $1.23 Typical High $1.91 | Facility | None | $1.23 | $1.23 | $1.91 |
Aetna Setting Professional Modifier None Typical Low $1.23 Median $1.58 Typical High $1.91 | Professional | None | $1.23 | $1.58 | $1.91 |
BCBS Kansas Setting Facility Modifier None Typical Low $1.58 Median $1.66 Typical High $1.66 | Facility | None | $1.58 | $1.66 | $1.66 |
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 $1.41 Median $4.07 Typical High $5.50 | Facility | None | $1.41 | $4.07 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
Medica Setting Facility Modifier None Typical Low $1.12 Median $1.12 Typical High $1.55 | Facility | None | $1.12 | $1.12 | $1.55 |
Medica Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.95 | Professional | None | $1.35 | $1.35 | $1.95 |
United Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Facility | None | $1.41 | $1.41 | $1.41 |
United Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $2.09 | Professional | None | $1.38 | $1.38 | $2.09 |
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 $0.62 Median $0.79 Typical High $0.95 | Professional | 52 · Reduced service | $0.62 | $0.79 | $0.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.25 Median $0.31 Typical High $0.38 | Professional | 53 · Discontinued | $0.25 | $0.31 | $0.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.24 Typical High $0.28 | Professional | 55 · Aftercare only | $0.18 | $0.24 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.16 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.12 | $0.16 | $0.19 |
Where Kansas sits
The same service costs 1.7 times more in Arizona than in Rhode Island. 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· 13th of 51
$1.58
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.