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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $12.59 Typical High $12.88 | Professional | None | $5.89 | $12.59 | $12.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $12.02 | Professional | None | $10.96 | $10.96 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $6.17 | Facility | None | $5.89 | $5.89 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.89 | Professional | None | $5.01 | $5.01 | $5.89 |
Medica Setting Facility Modifier None Typical Low $5.25 Median $8.51 Typical High $79.43 | Facility | None | $5.25 | $8.51 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $5.62 Typical High $48.98 | Professional | None | $3.24 | $5.62 | $48.98 |
United Setting Professional Modifier None Typical Low $2.88 Median $4.90 Typical High $6.31 | Professional | None | $2.88 | $4.90 | $6.31 |
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 $0.89 Median $1.91 Typical High $1.95 | Professional | 55 · Aftercare only | $0.89 | $1.91 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.60 Median $1.26 Typical High $1.29 | Professional | 56 · Pre-op care only | $0.60 | $1.26 | $1.29 |
Where Kansas sits
The same service costs 2.4 times more in Kansas 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· 1st 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.