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 $64.57 Median $74.13 Typical High $97.72 | Facility | None | $64.57 | $74.13 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $77.62 | Professional | None | $57.54 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $37.15 Typical High $38.90 | Professional | 52 · Reduced service | $28.84 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $15.14 Typical High $15.49 | Professional | 53 · Discontinued | $11.48 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $11.22 Typical High $11.75 | Professional | 55 · Aftercare only | $8.51 | $11.22 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.41 Typical High $7.76 | Professional | 56 · Pre-op care only | $5.75 | $7.41 | $7.76 |
BCBS Kansas Setting Facility Modifier None Typical Low $61.66 Median $64.57 Typical High $64.57 | Facility | None | $61.66 | $64.57 | $64.57 |
BCBS Kansas Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $245.47 Typical High $281.84 | Facility | None | $72.44 | $245.47 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $75.86 | Facility | None | $50.12 | $60.26 | $75.86 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $70.79 Typical High $229.09 | Professional | None | $54.95 | $70.79 | $229.09 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | None | $54.95 | $54.95 | $66.07 |
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 $46.77 Median $54.95 Typical High $66.07 | Professional | JZ · No drug discarded | $46.77 | $54.95 | $66.07 |
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· 9th 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.