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 $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $6.03 Typical High $6.17 | Professional | None | $2.82 | $6.03 | $6.17 |
BCBS Kansas Setting Facility Modifier None Typical Low $4.79 Median $5.01 Typical High $5.01 | Facility | None | $4.79 | $5.01 | $5.01 |
BCBS Kansas Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $2.57 | Professional | None | $1.91 | $2.19 | $2.57 |
Medica Setting Facility Modifier None Typical Low $2.45 Median $3.98 Typical High $79.43 | Facility | None | $2.45 | $3.98 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.55 Median $2.63 Typical High $22.39 | Professional | None | $1.55 | $2.63 | $22.39 |
United Setting Professional Modifier None Typical Low $1.51 Median $2.29 Typical High $2.95 | Professional | None | $1.51 | $2.29 | $2.95 |
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 $0.42 Median $0.89 Typical High $0.91 | Professional | 55 · Aftercare only | $0.42 | $0.89 | $0.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.60 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.28 | $0.60 | $0.62 |
Where Kansas sits
The same service costs 2.5 times more in Hawaii than in Vermont. 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· 2nd of 51
$5.01
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.