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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $81.28 Typical High $83.18 | Professional | None | $36.31 | $81.28 | $83.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $61.66 Median $64.57 Typical High $64.57 | Facility | None | $61.66 | $64.57 | $64.57 |
BCBS Kansas Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $54.95 Typical High $281.84 | Facility | None | $33.88 | $54.95 | $281.84 |
Medica Setting Professional Modifier None Typical Low $21.38 Median $36.31 Typical High $323.59 | Professional | None | $21.38 | $36.31 | $323.59 |
United Setting Professional Modifier None Typical Low $18.62 Median $31.62 Typical High $40.74 | Professional | None | $18.62 | $31.62 | $40.74 |
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 $5.89 Median $12.30 Typical High $12.59 | Professional | 55 · Aftercare only | $5.89 | $12.30 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $8.13 Typical High $8.32 | Professional | 56 · Pre-op care only | $3.89 | $8.13 | $8.32 |
Where Kansas sits
The same service costs 3.0 times more in Hawaii than in New Hampshire. 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
$64.57
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.