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 $2.51 Median $2.51 Typical High $2.88 | Facility | None | $2.51 | $2.51 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.88 Typical High $2.88 | Professional | None | $2.14 | $2.88 | $2.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $2.45 Median $2.57 Typical High $2.57 | Facility | None | $2.45 | $2.57 | $2.57 |
BCBS Kansas Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
Cigna Setting Facility Modifier None Typical Low $2.14 Median $7.24 Typical High $8.32 | Facility | None | $2.14 | $7.24 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Medica Setting Facility Modifier None Typical Low $2.04 Median $2.88 Typical High $2.88 | Facility | None | $2.04 | $2.88 | $2.88 |
Medica Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.82 | Professional | None | $2.14 | $2.14 | $2.82 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $3.09 | Professional | None | $2.14 | $2.14 | $3.09 |
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 $1.07 Median $1.45 Typical High $1.45 | Professional | 52 · Reduced service | $1.07 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.58 Typical High $0.58 | Professional | 53 · Discontinued | $0.42 | $0.58 | $0.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.43 Typical High $0.43 | Professional | 55 · Aftercare only | $0.32 | $0.43 | $0.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.21 | $0.28 | $0.28 |
Where Kansas sits
The same service costs 1.9 times more in Alaska than in Delaware. 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· 10th of 51
$2.45
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.