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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $23.44 Typical High $23.44 | Professional | None | $10.96 | $23.44 | $23.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $17.38 Median $18.20 Typical High $18.62 | Facility | None | $17.38 | $18.20 | $18.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.72 | Professional | None | $9.12 | $9.12 | $10.72 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $15.49 Typical High $79.43 | Facility | None | $9.55 | $15.49 | $79.43 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $10.23 Typical High $89.13 | Professional | None | $6.03 | $10.23 | $89.13 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.91 Typical High $11.48 | Professional | None | $5.89 | $8.91 | $11.48 |
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 $1.62 Median $3.47 Typical High $3.55 | Professional | 55 · Aftercare only | $1.62 | $3.47 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $2.34 Typical High $2.34 | Professional | 56 · Pre-op care only | $1.10 | $2.34 | $2.34 |
Where Kansas sits
The same service costs 2.9 times more in Hawaii than in Rhode Island. 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· 3rd of 51
$18.20
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.