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 $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $10.96 Typical High $10.96 | Professional | None | $5.13 | $10.96 | $10.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $8.32 Median $8.71 Typical High $8.71 | Facility | None | $8.32 | $8.71 | $8.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.01 | Professional | None | $4.27 | $4.27 | $5.01 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $7.24 Typical High $79.43 | Facility | None | $4.47 | $7.24 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.75 Median $4.79 Typical High $41.69 | Professional | None | $2.75 | $4.79 | $41.69 |
United Setting Professional Modifier None Typical Low $2.75 Median $4.17 Typical High $5.37 | Professional | None | $2.75 | $4.17 | $5.37 |
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 $0.78 Median $1.62 Typical High $1.66 | Professional | 55 · Aftercare only | $0.78 | $1.62 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.51 Median $1.10 Typical High $1.12 | Professional | 56 · Pre-op care only | $0.51 | $1.10 | $1.12 |
Where Kansas sits
The same service costs 2.1 times more in Hawaii 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· 4th of 51
$8.51
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.