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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $23.44 Typical High $23.99 | Professional | None | $15.14 | $23.44 | $23.99 |
BCBS Kansas Setting Facility Modifier None Typical Low $0.95 Median $1.00 Typical High $1.00 | Facility | None | $0.95 | $1.00 | $1.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $33.88 | Facility | None | $19.95 | $19.95 | $33.88 |
Medica Setting Professional Modifier None Typical Low $18.20 Median $42.66 Typical High $147.91 | Professional | None | $18.20 | $42.66 | $147.91 |
United Setting Professional Modifier None Typical Low $16.60 Median $27.54 Typical High $46.77 | Professional | None | $16.60 | $27.54 | $46.77 |
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 $7.41 Median $11.75 Typical High $12.02 | Professional | 52 · Reduced service | $7.41 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $4.68 Typical High $4.79 | Professional | 53 · Discontinued | $3.02 | $4.68 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $3.47 Typical High $3.55 | Professional | 55 · Aftercare only | $2.24 | $3.47 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $2.34 Typical High $2.40 | Professional | 56 · Pre-op care only | $1.51 | $2.34 | $2.40 |
Where Kansas sits
The same service costs 4.1 times more in Wyoming than in Kentucky. 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· 40th of 51
$23.99
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.