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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $21.38 Typical High $21.88 | Professional | None | $9.33 | $21.38 | $21.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $15.14 Median $15.85 Typical High $15.85 | Facility | None | $15.14 | $15.85 | $15.85 |
BCBS Kansas Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $10.00 | Professional | None | $8.51 | $8.51 | $10.00 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $14.45 Typical High $79.43 | Facility | None | $8.13 | $14.45 | $79.43 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $8.71 Typical High $83.18 | Professional | None | $5.37 | $8.71 | $83.18 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $10.47 | Professional | None | $5.01 | $7.59 | $10.47 |
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 $1.38 Median $3.24 Typical High $3.31 | Professional | 55 · Aftercare only | $1.38 | $3.24 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $2.14 Typical High $2.19 | Professional | 56 · Pre-op care only | $0.93 | $2.14 | $2.19 |
Where Kansas sits
The same service costs 2.3 times more in Montana 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· 4th of 51
$15.85
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.