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 $213.80 Median $213.80 Typical High $380.19 | Facility | None | $213.80 | $213.80 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $234.42 | Professional | None | $181.97 | $223.87 | $234.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $223.87 Median $239.88 Typical High $239.88 | Facility | None | $223.87 | $239.88 | $239.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $229.09 Typical High $354.81 | Facility | None | $199.53 | $229.09 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $177.83 Typical High $251.19 | Facility | None | $154.88 | $177.83 | $251.19 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $194.98 Typical High $199.53 | Professional | None | $177.83 | $194.98 | $199.53 |
United Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $213.80 | Professional | None | $186.21 | $204.17 | $213.80 |
2 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 55 · Aftercare only Typical Low $26.92 Median $33.11 Typical High $34.67 | Professional | 55 · Aftercare only | $26.92 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $22.39 Typical High $23.44 | Professional | 56 · Pre-op care only | $18.20 | $22.39 | $23.44 |
Where Kansas sits
The same service costs 562.3 times more in Montana than in Rhode Island. 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· 3rd of 51
$224
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.