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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $28.84 Typical High $29.51 | Professional | None | $12.30 | $28.84 | $29.51 |
BCBS Kansas Setting Facility Modifier None Typical Low $22.39 Median $23.44 Typical High $23.44 | Facility | None | $22.39 | $23.44 | $23.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | None | $11.48 | $11.48 | $13.49 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $19.50 Typical High $102.33 | Facility | None | $10.72 | $19.50 | $102.33 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $11.48 Typical High $109.65 | Professional | None | $6.76 | $11.48 | $109.65 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.00 Typical High $14.13 | Professional | None | $6.61 | $10.00 | $14.13 |
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 $1.86 Median $4.37 Typical High $4.47 | Professional | 55 · Aftercare only | $1.86 | $4.37 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $2.88 Typical High $2.95 | Professional | 56 · Pre-op care only | $1.23 | $2.88 | $2.95 |
Where Kansas sits
The same service costs 2.8 times more in Hawaii 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· 3rd of 51
$22.91
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.