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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $47.86 Typical High $48.98 | Professional | None | $22.39 | $47.86 | $48.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.02 Median $39.81 Typical High $39.81 | Facility | None | $38.02 | $39.81 | $39.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $31.62 Typical High $165.96 | Facility | None | $19.50 | $31.62 | $165.96 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $20.89 Typical High $194.98 | Professional | None | $12.30 | $20.89 | $194.98 |
United Setting Professional Modifier None Typical Low $10.96 Median $18.20 Typical High $23.44 | Professional | None | $10.96 | $18.20 | $23.44 |
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 $3.39 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $3.39 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $4.79 Typical High $4.90 | Professional | 56 · Pre-op care only | $2.24 | $4.79 | $4.90 |
Where Kansas sits
The same service costs 2.9 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· 3rd of 51
$39.81
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.