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 $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $8.91 Typical High $9.12 | Professional | None | $4.17 | $8.91 | $9.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $5.50 Median $5.75 Typical High $5.75 | Facility | None | $5.50 | $5.75 | $5.75 |
BCBS Kansas Setting Professional Modifier None Typical Low $5.75 Median $6.31 Typical High $6.61 | Professional | None | $5.75 | $6.31 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.37 | Facility | None | $4.17 | $4.17 | $4.37 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $4.17 | Professional | None | $3.55 | $3.55 | $4.17 |
Medica Setting Facility Modifier None Typical Low $3.63 Median $6.03 Typical High $79.43 | Facility | None | $3.63 | $6.03 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $3.98 Typical High $33.88 | Professional | None | $2.29 | $3.98 | $33.88 |
United Setting Professional Modifier None Typical Low $2.04 Median $3.47 Typical High $4.37 | Professional | None | $2.04 | $3.47 | $4.37 |
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 $0.63 Median $1.35 Typical High $1.35 | Professional | 55 · Aftercare only | $0.63 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.89 Typical High $0.91 | Professional | 56 · Pre-op care only | $0.42 | $0.89 | $0.91 |
Where Kansas sits
The same service costs 2.1 times more in Idaho than in Connecticut. 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· 11th of 51
$5.75
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.