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 $15.85 Median $21.88 Typical High $27.54 | Facility | None | $15.85 | $21.88 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $21.88 | Professional | None | $16.22 | $21.88 | $21.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $31.62 Median $33.11 Typical High $33.11 | Facility | None | $31.62 | $33.11 | $33.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $47.86 Typical High $54.95 | Facility | None | $20.42 | $47.86 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $85.11 Typical High $85.11 | Facility | None | $22.91 | $85.11 | $85.11 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $50.12 | Professional | None | $26.30 | $26.92 | $50.12 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $33.88 | Professional | None | $13.80 | $13.80 | $33.88 |
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 $8.13 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $8.13 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $3.24 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $3.31 Typical High $3.31 | Professional | 55 · Aftercare only | $2.40 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.19 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.62 | $2.19 | $2.19 |
Where Kansas sits
The same service costs 5.9 times more in Wyoming 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· 4th of 51
$31.62
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.