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 $3.31 Median $3.31 Typical High $3.31 | Facility | None | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $1.51 Median $3.24 Typical High $3.31 | Professional | None | $1.51 | $3.24 | $3.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $2.19 Median $2.29 Typical High $2.29 | Facility | None | $2.19 | $2.29 | $2.29 |
BCBS Kansas Setting Professional Modifier None Typical Low $2.29 Median $2.34 Typical High $2.45 | Professional | None | $2.29 | $2.34 | $2.45 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Facility | None | $1.51 | $1.51 | $1.51 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.51 | Professional | None | $1.29 | $1.29 | $1.51 |
Medica Setting Facility Modifier None Typical Low $1.35 Median $2.14 Typical High $79.43 | Facility | None | $1.35 | $2.14 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.83 Median $1.29 Typical High $12.59 | Professional | None | $0.83 | $1.29 | $12.59 |
United Setting Professional Modifier None Typical Low $0.81 Median $1.26 Typical High $1.58 | Professional | None | $0.81 | $1.26 | $1.58 |
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 $0.23 Median $0.49 Typical High $0.50 | Professional | 55 · Aftercare only | $0.23 | $0.49 | $0.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.33 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.15 | $0.33 | $0.33 |
Where Kansas sits
The same service costs 2.1 times more in Idaho than in Connecticut. 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· 10th of 51
$2.29
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.