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 $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $10.47 Typical High $10.47 | Professional | None | $4.79 | $10.47 | $10.47 |
BCBS Kansas Setting Facility Modifier None Typical Low $10.23 Median $10.47 Typical High $10.72 | Facility | None | $10.23 | $10.47 | $10.72 |
BCBS Kansas Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.79 | Professional | None | $4.07 | $4.07 | $4.79 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $6.92 Typical High $79.43 | Facility | None | $4.27 | $6.92 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.63 Median $4.57 Typical High $39.81 | Professional | None | $2.63 | $4.57 | $39.81 |
United Setting Professional Modifier None Typical Low $2.63 Median $3.98 Typical High $5.13 | Professional | None | $2.63 | $3.98 | $5.13 |
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 $0.72 Median $1.55 Typical High $1.58 | Professional | 55 · Aftercare only | $0.72 | $1.55 | $1.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.49 Median $1.05 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.49 | $1.05 | $1.07 |
Where Kansas sits
The same service costs 2.3 times more in Kansas than in Utah. 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
$9.55
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.