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 $0.39 Median $0.39 Typical High $0.39 | Facility | None | $0.39 | $0.39 | $0.39 |
Aetna Setting Professional Modifier None Typical Low $0.19 Median $0.38 Typical High $0.39 | Professional | None | $0.19 | $0.38 | $0.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.03 | $0.06 | $0.06 |
Ambetter Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $0.43 Median $0.45 Typical High $0.45 | Facility | None | $0.43 | $0.45 | $0.45 |
BCBS Kansas Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | None | $0.52 | $0.52 | $0.52 |
Cigna Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | None | $0.26 | $0.26 | $0.26 |
Medica Setting Facility Modifier None Typical Low $0.34 Median $0.44 Typical High $0.65 | Facility | None | $0.34 | $0.44 | $0.65 |
Medica Setting Professional Modifier None Typical Low $0.23 Median $0.27 Typical High $39.81 | Professional | None | $0.23 | $0.27 | $39.81 |
United Setting Professional Modifier None Typical Low $0.18 Median $0.27 Typical High $0.36 | Professional | None | $0.18 | $0.27 | $0.36 |
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 56 · Pre-op care only Typical Low $0.02 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.02 | $0.04 | $0.04 |
Aetna Setting Professional Modifier AW · With surgical dressing Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | AW · With surgical dressing | $0.15 | $0.15 | $0.15 |
Where Kansas sits
The same service costs 2.5 times more in Montana 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· 7th of 51
$0.39
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.