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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $20.42 Typical High $20.89 | Professional | None | $9.55 | $20.42 | $20.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $19.05 Median $19.95 Typical High $20.42 | Facility | None | $19.05 | $19.95 | $20.42 |
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 $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.55 | Professional | None | $8.13 | $8.13 | $9.55 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $13.49 Typical High $79.43 | Facility | None | $8.51 | $13.49 | $79.43 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $9.12 Typical High $79.43 | Professional | None | $5.25 | $9.12 | $79.43 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.94 Typical High $10.00 | Professional | None | $5.13 | $7.94 | $10.00 |
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 $1.45 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $1.45 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.95 Median $2.04 Typical High $2.09 | Professional | 56 · Pre-op care only | $0.95 | $2.04 | $2.09 |
Where Kansas sits
The same service costs 2.2 times more in Kansas 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· 1st 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.