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 $19.50 Median $40.74 Typical High $42.66 | Facility | None | $19.50 | $40.74 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $40.74 | Professional | None | $25.12 | $33.88 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $16.98 Typical High $20.42 | Professional | 52 · Reduced service | $12.30 | $16.98 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.76 Typical High $8.13 | Professional | 53 · Discontinued | $5.01 | $6.76 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $5.13 Typical High $6.17 | Professional | 55 · Aftercare only | $3.72 | $5.13 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.39 Typical High $4.07 | Professional | 56 · Pre-op care only | $2.45 | $3.39 | $4.07 |
BCBS Kansas Setting Facility Modifier None Typical Low $26.30 Median $27.54 Typical High $27.54 | Facility | None | $26.30 | $27.54 | $27.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $107.15 Typical High $120.23 | Facility | None | $31.62 | $107.15 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $40.74 Typical High $40.74 | Facility | None | $24.55 | $40.74 | $40.74 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $77.62 | Professional | None | $20.89 | $20.89 | $77.62 |
United Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $74.13 | Professional | None | $16.60 | $16.60 | $74.13 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | JZ · No drug discarded | $16.60 | $16.60 | $20.89 |
Where Kansas sits
The same service costs 1.9 times more in Wyoming than in Arizona. 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· 18th of 51
$25.12
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.