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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $35.48 Typical High $38.02 | Professional | None | $25.70 | $35.48 | $38.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $141.25 | Facility | None | $134.90 | $141.25 | $141.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $50.12 | Professional | None | $36.31 | $36.31 | $50.12 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $53.70 Typical High $269.15 | Facility | None | $28.18 | $53.70 | $269.15 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $40.74 Typical High $354.81 | Professional | None | $25.70 | $40.74 | $354.81 |
United Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $47.86 | Professional | None | $21.88 | $31.62 | $47.86 |
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 $12.88 Median $17.78 Typical High $19.05 | Professional | 52 · Reduced service | $12.88 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $7.08 Typical High $7.59 | Professional | 53 · Discontinued | $5.13 | $7.08 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $5.25 Typical High $5.75 | Professional | 55 · Aftercare only | $3.89 | $5.25 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $3.55 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.57 | $3.55 | $3.80 |
Where Kansas sits
The same service costs 4.1 times more in Kansas 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· 1st of 51
$135
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.