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 $7.94 Median $7.94 Typical High $11.22 | Facility | None | $7.94 | $7.94 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $8.51 Typical High $10.23 | Professional | None | $7.59 | $8.51 | $10.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $7.41 Median $7.76 Typical High $7.76 | Facility | None | $7.41 | $7.76 | $7.76 |
BCBS Kansas Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $7.76 Typical High $12.30 | Facility | None | $6.92 | $7.76 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $11.48 | Facility | None | $6.92 | $6.92 | $11.48 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.32 | Professional | None | $7.59 | $7.59 | $8.32 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.41 | Facility | None | $7.24 | $7.24 | $7.41 |
United Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.32 | Professional | None | $7.59 | $7.59 | $8.32 |
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 $3.80 Median $4.27 Typical High $5.13 | Professional | 52 · Reduced service | $3.80 | $4.27 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.70 Typical High $2.04 | Professional | 53 · Discontinued | $1.51 | $1.70 | $2.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.26 Typical High $1.55 | Professional | 55 · Aftercare only | $1.12 | $1.26 | $1.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.85 Typical High $1.02 | Professional | 56 · Pre-op care only | $0.76 | $0.85 | $1.02 |
Where Kansas sits
The same service costs 1.8 times more in Alaska than in North Dakota. 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· 45th of 51
$7.59
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.