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 $16.98 Median $16.98 Typical High $29.51 | Facility | None | $16.98 | $16.98 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $23.44 | Professional | None | $16.98 | $17.78 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.91 Typical High $11.75 | Professional | 52 · Reduced service | $8.51 | $8.91 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.55 Typical High $4.68 | Professional | 53 · Discontinued | $3.39 | $3.55 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.63 Typical High $3.55 | Professional | 55 · Aftercare only | $2.51 | $2.63 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.78 Typical High $2.34 | Professional | 56 · Pre-op care only | $1.70 | $1.78 | $2.34 |
BCBS Kansas Setting Facility Modifier None Typical Low $19.05 Median $19.95 Typical High $19.95 | Facility | None | $19.05 | $19.95 | $19.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $74.13 Typical High $83.18 | Facility | None | $21.88 | $74.13 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $23.44 | Facility | None | $15.49 | $15.49 | $23.44 |
Medica Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.05 | Professional | None | $16.98 | $16.98 | $19.05 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | None | $16.98 | $16.98 | $19.50 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | JZ · No drug discarded | $17.38 | $17.38 | $17.38 |
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· 16th of 51
$17.38
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.