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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $17.38 Typical High $17.78 | Professional | None | $8.13 | $17.38 | $17.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $11.22 Median $11.75 Typical High $11.75 | Facility | None | $11.22 | $11.75 | $11.75 |
BCBS Kansas Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $8.13 | Professional | None | $6.92 | $6.92 | $8.13 |
Medica Setting Facility Modifier None Typical Low $7.08 Median $11.48 Typical High $79.43 | Facility | None | $7.08 | $11.48 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $7.76 Typical High $66.07 | Professional | None | $4.47 | $7.76 | $66.07 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.76 Typical High $8.51 | Professional | None | $4.37 | $6.76 | $8.51 |
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 $1.23 Median $2.63 Typical High $2.63 | Professional | 55 · Aftercare only | $1.23 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $1.74 Typical High $1.78 | Professional | 56 · Pre-op care only | $0.81 | $1.74 | $1.78 |
Where Kansas sits
The same service costs 2.1 times more in Hawaii than in Colorado. 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· 10th of 51
$11.75
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.