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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $11.75 Typical High $11.75 | Professional | None | $4.57 | $11.75 | $11.75 |
BCBS Kansas Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $5.37 | Professional | None | $4.57 | $4.57 | $5.37 |
Medica Setting Facility Modifier None Typical Low $4.79 Median $7.76 Typical High $79.43 | Facility | None | $4.79 | $7.76 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.02 Median $5.13 Typical High $61.66 | Professional | None | $3.02 | $5.13 | $61.66 |
United Setting Professional Modifier None Typical Low $2.63 Median $4.47 Typical High $5.75 | Professional | None | $2.63 | $4.47 | $5.75 |
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 $0.81 Median $1.74 Typical High $1.78 | Professional | 55 · Aftercare only | $0.81 | $1.74 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.55 Median $1.17 Typical High $1.17 | Professional | 56 · Pre-op care only | $0.55 | $1.17 | $1.17 |
Where Kansas sits
The same service costs 4.2 times more in Hawaii than in Kentucky. 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
$10.96
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.