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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $16.22 | Professional | None | $10.96 | $15.14 | $16.22 |
BCBS Kansas Setting Facility Modifier None Typical Low $4.79 Median $5.01 Typical High $5.01 | Facility | None | $4.79 | $5.01 | $5.01 |
BCBS Kansas Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $28.18 | Professional | None | $20.42 | $20.42 | $28.18 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $22.91 Typical High $114.82 | Facility | None | $12.02 | $22.91 | $114.82 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $17.38 Typical High $154.88 | Professional | None | $10.96 | $17.38 | $154.88 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $20.89 | Professional | None | $9.33 | $13.49 | $20.89 |
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 $5.50 Median $7.59 Typical High $8.13 | Professional | 52 · Reduced service | $5.50 | $7.59 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $3.02 Typical High $3.31 | Professional | 53 · Discontinued | $2.19 | $3.02 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $2.24 Typical High $2.45 | Professional | 55 · Aftercare only | $1.62 | $2.24 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.51 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.10 | $1.51 | $1.62 |
Where Kansas sits
The same service costs 8.7 times more in Hawaii 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
$9.77
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.