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 $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier None Typical Low $2.75 Median $3.55 Typical High $5.13 | Professional | None | $2.75 | $3.55 | $5.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $12.02 Median $12.30 Typical High $12.59 | Facility | None | $12.02 | $12.30 | $12.59 |
BCBS Kansas Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
Medica Setting Facility Modifier None Typical Low $5.13 Median $8.91 Typical High $8.91 | Facility | None | $5.13 | $8.91 | $8.91 |
Medica Setting Professional Modifier None Typical Low $2.14 Median $7.94 Typical High $10.96 | Professional | None | $2.14 | $7.94 | $10.96 |
United Setting Professional Modifier None Typical Low $2.09 Median $5.89 Typical High $11.48 | Professional | None | $2.09 | $5.89 | $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 $0.41 Median $0.52 Typical High $0.78 | Professional | 55 · Aftercare only | $0.41 | $0.52 | $0.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.35 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.27 | $0.35 | $0.52 |
Where Kansas sits
The same service costs 4.2 times more in Kansas than in Delaware. 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
$10.72
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.