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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $19.95 | Professional | None | $13.49 | $18.62 | $19.95 |
BCBS Kansas Setting Facility Modifier None Typical Low $26.30 Median $27.54 Typical High $27.54 | Facility | None | $26.30 | $27.54 | $27.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $27.54 | Professional | None | $19.95 | $19.95 | $27.54 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $28.18 Typical High $141.25 | Facility | None | $14.79 | $28.18 | $141.25 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $21.38 Typical High $186.21 | Professional | None | $13.49 | $21.38 | $186.21 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $25.12 | Professional | None | $11.48 | $16.60 | $25.12 |
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 $6.76 Median $9.33 Typical High $10.00 | Professional | 52 · Reduced service | $6.76 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.72 Typical High $4.07 | Professional | 53 · Discontinued | $2.69 | $3.72 | $4.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.75 Typical High $3.02 | Professional | 55 · Aftercare only | $2.04 | $2.75 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.86 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.35 | $1.86 | $2.04 |
Where Kansas sits
The same service costs 4.4 times more in Wyoming than in Colorado. 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· 15th of 51
$27.54
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.