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 $0.78 Median $0.78 Typical High $0.78 | Facility | None | $0.78 | $0.78 | $0.78 |
Aetna Setting Professional Modifier None Typical Low $0.37 Median $0.76 Typical High $0.78 | Professional | None | $0.37 | $0.76 | $0.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.11 Typical High $0.12 | Professional | 55 · Aftercare only | $0.06 | $0.11 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.04 | $0.08 | $0.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $0.83 Median $0.85 Typical High $0.87 | Facility | None | $0.83 | $0.85 | $0.87 |
BCBS Kansas Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | None | $1.12 | $1.12 | $1.12 |
Medica Setting Facility Modifier None Typical Low $0.36 Median $0.68 Typical High $1.29 | Facility | None | $0.36 | $0.68 | $1.29 |
Medica Setting Professional Modifier None Typical Low $0.40 Median $5.25 Typical High $5.25 | Professional | None | $0.40 | $5.25 | $5.25 |
United Setting Professional Modifier None Typical Low $0.28 Median $0.41 Typical High $0.58 | Professional | None | $0.28 | $0.41 | $0.58 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | Q6 · Substitute physician, paid per time | $1.51 | $1.51 | $1.51 |
Where Kansas sits
The same service costs 2.9 times more in Minnesota than in Ohio. 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· 13th of 51
$0.78
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.