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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $14.79 Typical High $15.14 | Professional | None | $6.92 | $14.79 | $15.14 |
BCBS Kansas Setting Facility Modifier None Typical Low $9.12 Median $9.55 Typical High $9.55 | Facility | None | $9.12 | $9.55 | $9.55 |
BCBS Kansas Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.92 | Professional | None | $5.89 | $5.89 | $6.92 |
Medica Setting Facility Modifier None Typical Low $6.03 Median $9.77 Typical High $79.43 | Facility | None | $6.03 | $9.77 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.80 Median $6.61 Typical High $56.23 | Professional | None | $3.80 | $6.61 | $56.23 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.75 Typical High $7.24 | Professional | None | $3.72 | $5.75 | $7.24 |
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 $1.05 Median $2.24 Typical High $2.24 | Professional | 55 · Aftercare only | $1.05 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.71 Median $1.48 Typical High $1.51 | Professional | 56 · Pre-op care only | $0.71 | $1.48 | $1.51 |
Where Kansas sits
The same service costs 2.1 times more in Idaho 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· 15th of 51
$9.55
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.