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 $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $16.98 | Professional | None | $10.72 | $15.49 | $16.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $7.41 Median $7.76 Typical High $7.94 | Facility | None | $7.41 | $7.76 | $7.94 |
BCBS Kansas Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $13.49 | Professional | None | $9.77 | $9.77 | $13.49 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $16.22 Typical High $102.33 | Facility | None | $10.72 | $16.22 | $102.33 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $11.22 Typical High $128.82 | Professional | None | $7.59 | $11.22 | $128.82 |
United Setting Facility Modifier None Typical Low $7.94 Median $9.77 Typical High $26.92 | Facility | None | $7.94 | $9.77 | $26.92 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.77 Typical High $13.18 | Professional | None | $6.61 | $9.77 | $13.18 |
4 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $7.76 Typical High $8.51 | Professional | 52 · Reduced service | $5.37 | $7.76 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $3.09 Typical High $3.39 | Professional | 53 · Discontinued | $2.14 | $3.09 | $3.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $2.34 Typical High $2.51 | Professional | 55 · Aftercare only | $1.62 | $2.34 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.55 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.07 | $1.55 | $1.70 |
Where Kansas sits
The same service costs 2.5 times more in Arkansas than in Kansas. 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· 51st of 51
$9.12
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.