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 $11.22 Median $11.22 Typical High $11.48 | Facility | None | $11.22 | $11.22 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $11.22 Typical High $12.02 | Professional | None | $7.24 | $11.22 | $12.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $0.95 Median $0.95 Typical High $1.00 | Facility | None | $0.95 | $0.95 | $1.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
Cigna Setting Facility Modifier None Typical Low $1.58 Median $1.70 Typical High $3.09 | Facility | None | $1.58 | $1.70 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $6.46 Typical High $6.46 | Professional | None | $3.80 | $6.46 | $6.46 |
Medica Setting Facility Modifier None Typical Low $4.07 Median $9.12 Typical High $19.50 | Facility | None | $4.07 | $9.12 | $19.50 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $16.22 | Professional | None | $10.23 | $12.30 | $16.22 |
United Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $20.89 | Professional | None | $10.23 | $12.88 | $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 $4.90 Median $5.62 Typical High $6.03 | Professional | 52 · Reduced service | $4.90 | $5.62 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $2.40 | Professional | 53 · Discontinued | $1.95 | $2.24 | $2.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.45 Median $1.70 Typical High $1.82 | Professional | 55 · Aftercare only | $1.45 | $1.70 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $1.12 Typical High $1.20 | Professional | 56 · Pre-op care only | $0.98 | $1.12 | $1.20 |
Where Kansas sits
The same service costs 25.1 times more in Wyoming than in New Jersey. 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· 42nd of 51
$6.46
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.