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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $45.71 Typical High $46.77 | Professional | None | $21.38 | $45.71 | $46.77 |
BCBS Kansas Setting Facility Modifier None Typical Low $32.36 Median $33.88 Typical High $33.88 | Facility | None | $32.36 | $33.88 | $33.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $22.39 | Facility | None | $21.38 | $21.38 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | None | $18.20 | $18.20 | $21.38 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $30.20 Typical High $158.49 | Facility | None | $18.62 | $30.20 | $158.49 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $20.42 Typical High $177.83 | Professional | None | $11.75 | $20.42 | $177.83 |
United Setting Professional Modifier None Typical Low $10.47 Median $17.78 Typical High $22.39 | Professional | None | $10.47 | $17.78 | $22.39 |
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 $3.24 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $3.24 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $4.57 Typical High $4.68 | Professional | 56 · Pre-op care only | $2.14 | $4.57 | $4.68 |
Where Kansas sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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
$35.48
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.