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 $6.76 Median $6.76 Typical High $9.33 | Facility | None | $6.76 | $6.76 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $9.33 | Professional | None | $6.31 | $8.51 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $30.20 | Professional | None | $7.08 | $7.08 | $30.20 |
BCBS Kansas Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $31.62 | Facility | None | $29.51 | $29.51 | $31.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $20.89 | Professional | None | $15.49 | $15.49 | $20.89 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $13.18 Typical High $89.13 | Facility | None | $6.76 | $13.18 | $89.13 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $10.00 Typical High $87.10 | Professional | None | $6.31 | $10.00 | $87.10 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $11.48 | Professional | None | $5.37 | $7.76 | $11.48 |
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 $3.09 Median $4.27 Typical High $4.68 | Professional | 52 · Reduced service | $3.09 | $4.27 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.70 Typical High $1.86 | Professional | 53 · Discontinued | $1.26 | $1.70 | $1.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.93 Median $1.29 Typical High $1.41 | Professional | 55 · Aftercare only | $0.93 | $1.29 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.85 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.62 | $0.85 | $0.93 |
Where Kansas sits
The same service costs 6.2 times more in Wyoming than in North Carolina. 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· 2nd of 51
$29.51
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.