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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $19.50 Typical High $21.38 | Professional | None | $14.45 | $19.50 | $21.38 |
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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | None | $20.89 | $20.89 | $28.84 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $30.20 Typical High $151.36 | Facility | None | $15.49 | $30.20 | $151.36 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $22.91 Typical High $199.53 | Professional | None | $14.45 | $22.91 | $199.53 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $26.92 | Professional | None | $12.30 | $17.78 | $26.92 |
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 $7.24 Median $9.77 Typical High $10.72 | Professional | 52 · Reduced service | $7.24 | $9.77 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.98 Typical High $4.27 | Professional | 53 · Discontinued | $2.88 | $3.98 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.95 Typical High $3.24 | Professional | 55 · Aftercare only | $2.14 | $2.95 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.95 Typical High $2.14 | Professional | 56 · Pre-op care only | $1.45 | $1.95 | $2.14 |
Where Kansas sits
The same service costs 4.1 times more in Wyoming than in Utah. 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· 12th 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.