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 $41.69 Median $41.69 Typical High $63.10 | Facility | None | $41.69 | $41.69 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $50.12 | Professional | None | $36.31 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $20.89 Typical High $25.12 | Professional | 52 · Reduced service | $18.20 | $20.89 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.51 Typical High $10.00 | Professional | 53 · Discontinued | $7.41 | $8.51 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $6.31 Typical High $7.41 | Professional | 55 · Aftercare only | $5.50 | $6.31 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.17 Typical High $5.01 | Professional | 56 · Pre-op care only | $3.63 | $4.17 | $5.01 |
BCBS Kansas Setting Facility Modifier None Typical Low $42.66 Median $45.71 Typical High $45.71 | Facility | None | $42.66 | $45.71 | $45.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $158.49 Typical High $177.83 | Facility | None | $45.71 | $158.49 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $41.69 Typical High $51.29 | Facility | None | $35.48 | $41.69 | $51.29 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $43.65 Typical High $162.18 | Professional | None | $36.31 | $43.65 | $162.18 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | None | $36.31 | $36.31 | $41.69 |
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 Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | JW · Drug discarded | $36.31 | $36.31 | $36.31 |
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
$40.74
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.