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 $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $7.59 Typical High $7.76 | Professional | None | $3.55 | $7.59 | $7.76 |
BCBS Kansas Setting Facility Modifier None Typical Low $13.18 Median $13.80 Typical High $13.80 | Facility | None | $13.18 | $13.80 | $13.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $9.33 Median $10.47 Typical High $12.88 | Professional | None | $9.33 | $10.47 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $3.80 | Professional | None | $2.45 | $3.24 | $3.80 |
Medica Setting Facility Modifier None Typical Low $3.09 Median $5.01 Typical High $79.43 | Facility | None | $3.09 | $5.01 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $3.31 Typical High $29.51 | Professional | None | $1.95 | $3.31 | $29.51 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.95 Typical High $3.72 | Professional | None | $1.91 | $2.95 | $3.72 |
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 $0.54 Median $1.12 Typical High $1.15 | Professional | 55 · Aftercare only | $0.54 | $1.12 | $1.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.76 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.36 | $0.76 | $0.78 |
Where Kansas sits
The same service costs 3.2 times more in Kansas 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· 1st of 51
$9.33
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.