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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $28.18 Typical High $28.84 | Professional | None | $13.18 | $28.18 | $28.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $39.81 Median $41.69 Typical High $41.69 | Facility | None | $39.81 | $41.69 | $41.69 |
BCBS Kansas Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | None | $13.18 | $13.18 | $15.49 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $19.05 Typical High $117.49 | Facility | None | $11.75 | $19.05 | $117.49 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $12.59 Typical High $165.96 | Professional | None | $8.32 | $12.59 | $165.96 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.96 Typical High $15.49 | Professional | None | $7.24 | $10.96 | $15.49 |
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 $2.00 Median $4.27 Typical High $4.37 | Professional | 55 · Aftercare only | $2.00 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $2.82 Typical High $2.88 | Professional | 56 · Pre-op care only | $1.32 | $2.82 | $2.88 |
Where Kansas sits
The same service costs 3.5 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
$35.48
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.