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 $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier None Typical Low $1.45 Median $3.02 Typical High $3.09 | Professional | None | $1.45 | $3.02 | $3.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $8.71 Median $9.12 Typical High $9.33 | Facility | None | $8.71 | $9.12 | $9.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Facility | None | $1.41 | $1.41 | $1.41 |
Cigna Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.41 | Professional | None | $1.20 | $1.20 | $1.41 |
Medica Setting Facility Modifier None Typical Low $1.26 Median $2.04 Typical High $79.43 | Facility | None | $1.26 | $2.04 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.78 Median $1.35 Typical High $11.75 | Professional | None | $0.78 | $1.35 | $11.75 |
United Setting Professional Modifier None Typical Low $0.78 Median $1.17 Typical High $1.51 | Professional | None | $0.78 | $1.17 | $1.51 |
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 $0.21 Median $0.46 Typical High $0.46 | Professional | 55 · Aftercare only | $0.21 | $0.46 | $0.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.30 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.14 | $0.30 | $0.31 |
Where Kansas sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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
$6.31
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.