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 $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $6.17 Typical High $6.31 | Professional | None | $2.88 | $6.17 | $6.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $8.32 Median $8.71 Typical High $8.91 | Facility | None | $8.32 | $8.71 | $8.91 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | None | $2.88 | $2.88 | $2.88 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.88 | Professional | None | $2.45 | $2.45 | $2.88 |
Medica Setting Facility Modifier None Typical Low $2.51 Median $4.07 Typical High $79.43 | Facility | None | $2.51 | $4.07 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.58 Median $2.57 Typical High $26.30 | Professional | None | $1.58 | $2.57 | $26.30 |
United Setting Professional Modifier None Typical Low $1.55 Median $2.40 Typical High $3.02 | Professional | None | $1.55 | $2.40 | $3.02 |
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 $0.44 Median $0.93 Typical High $0.95 | Professional | 55 · Aftercare only | $0.44 | $0.93 | $0.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.62 Typical High $0.63 | Professional | 56 · Pre-op care only | $0.28 | $0.62 | $0.63 |
Where Kansas sits
The same service costs 2.8 times more in Kansas than in Delaware. 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
$6.76
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.