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 $66.07 Median $66.07 Typical High $104.71 | Facility | None | $66.07 | $66.07 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $81.28 | Professional | None | $60.26 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $33.11 Typical High $40.74 | Professional | 52 · Reduced service | $30.20 | $33.11 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.18 Typical High $16.22 | Professional | 53 · Discontinued | $12.02 | $13.18 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.00 Typical High $12.30 | Professional | 55 · Aftercare only | $9.12 | $10.00 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.61 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.03 | $6.61 | $8.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $60.26 Median $64.57 Typical High $64.57 | Facility | None | $60.26 | $64.57 | $64.57 |
BCBS Kansas Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $257.04 Typical High $295.12 | Facility | None | $75.86 | $257.04 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $52.48 Typical High $75.86 | Facility | None | $47.86 | $52.48 | $75.86 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | None | $54.95 | $54.95 | $66.07 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | None | $56.23 | $56.23 | $67.61 |
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 JW · Drug discarded + JZ · No drug discarded Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | JW · Drug discarded + JZ · No drug discarded | $56.23 | $56.23 | $56.23 |
Where Kansas sits
Rates are fairly even across states for this service. 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· 26th of 51
$60.26
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.