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 $28.84 Median $28.84 Typical High $34.67 | Facility | None | $28.84 | $28.84 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $28.84 | Professional | None | $20.89 | $23.44 | $28.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $37.15 | Facility | None | $35.48 | $37.15 | $37.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $89.13 Typical High $102.33 | Facility | None | $26.30 | $89.13 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $107.15 Typical High $107.15 | Facility | None | $21.88 | $107.15 | $107.15 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $39.81 Typical High $125.89 | Professional | None | $21.88 | $39.81 | $125.89 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | None | $29.51 | $29.51 | $35.48 |
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 $10.47 Median $11.75 Typical High $14.13 | Professional | 52 · Reduced service | $10.47 | $11.75 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.68 Typical High $5.75 | Professional | 53 · Discontinued | $4.17 | $4.68 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.55 Typical High $4.27 | Professional | 55 · Aftercare only | $3.16 | $3.55 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.34 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.09 | $2.34 | $2.88 |
Where Kansas sits
The same service costs 3.8 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· 15th of 51
$28.84
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.