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 $2.04 Median $2.04 Typical High $2.34 | Facility | None | $2.04 | $2.04 | $2.34 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $2.34 Typical High $2.34 | Professional | None | $1.74 | $2.34 | $2.34 |
BCBS Kansas Setting Facility Modifier None Typical Low $1.95 Median $2.04 Typical High $2.04 | Facility | None | $1.95 | $2.04 | $2.04 |
BCBS Kansas Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $5.01 Typical High $6.76 | Facility | None | $1.74 | $5.01 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Medica Setting Facility Modifier None Typical Low $1.48 Median $1.48 Typical High $2.19 | Facility | None | $1.48 | $1.48 | $2.19 |
Medica Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $2.19 | Professional | None | $1.58 | $1.58 | $2.19 |
United Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Facility | None | $1.74 | $1.74 | $1.74 |
United Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.24 | Professional | None | $1.74 | $1.74 | $2.24 |
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 $0.85 Median $1.17 Typical High $1.17 | Professional | 52 · Reduced service | $0.85 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.34 Median $0.47 Typical High $0.47 | Professional | 53 · Discontinued | $0.34 | $0.47 | $0.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.26 Median $0.35 Typical High $0.35 | Professional | 55 · Aftercare only | $0.26 | $0.35 | $0.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.23 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.17 | $0.23 | $0.23 |
Where Kansas sits
The same service costs 1.8 times more in Alaska than in Virginia. 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· 9th of 51
$1.95
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.