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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $15.85 Typical High $16.22 | Professional | None | $7.59 | $15.85 | $16.22 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.92 Median $7.24 Typical High $7.24 | Facility | None | $6.92 | $7.24 | $7.24 |
BCBS Kansas Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.13 | Professional | None | $7.08 | $7.08 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.13 Typical High $5.89 | Professional | None | $5.01 | $5.13 | $5.89 |
Medica Setting Facility Modifier None Typical Low $6.61 Median $10.72 Typical High $79.43 | Facility | None | $6.61 | $10.72 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.07 Median $7.08 Typical High $61.66 | Professional | None | $4.07 | $7.08 | $61.66 |
United Setting Professional Modifier None Typical Low $3.63 Median $6.17 Typical High $7.94 | Professional | None | $3.63 | $6.17 | $7.94 |
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 $1.12 Median $2.40 Typical High $2.45 | Professional | 55 · Aftercare only | $1.12 | $2.40 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $1.58 Typical High $1.62 | Professional | 56 · Pre-op care only | $0.76 | $1.58 | $1.62 |
Where Kansas sits
The same service costs 2.7 times more in Hawaii than in Vermont. 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· 24th of 51
$7.08
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.