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 $10.72 Median $22.91 Typical High $23.44 | Professional | None | $10.72 | $22.91 | $23.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $14.79 Median $15.49 Typical High $15.49 | Facility | None | $14.79 | $15.49 | $15.49 |
BCBS Kansas Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $16.98 | Professional | None | $15.49 | $16.60 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.30 | Professional | None | $10.47 | $10.47 | $12.30 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $15.14 Typical High $91.20 | Facility | None | $9.33 | $15.14 | $91.20 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $10.00 Typical High $112.20 | Professional | None | $6.03 | $10.00 | $112.20 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.71 Typical High $12.59 | Professional | None | $5.89 | $8.71 | $12.59 |
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 $1.62 Median $3.47 Typical High $3.47 | Professional | 55 · Aftercare only | $1.62 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $2.29 Typical High $2.29 | Professional | 56 · Pre-op care only | $1.07 | $2.29 | $2.29 |
Where Kansas sits
The same service costs 3.0 times more in Hawaii 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· 17th of 51
$15.49
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.