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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $17.38 | Professional | None | $9.77 | $12.59 | $17.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $28.18 Median $29.51 Typical High $29.51 | Facility | None | $28.18 | $29.51 | $29.51 |
BCBS Kansas Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $23.99 Typical High $23.99 | Facility | None | $19.95 | $23.99 | $23.99 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $22.39 Typical High $31.62 | Professional | None | $6.92 | $22.39 | $31.62 |
United Setting Professional Modifier None Typical Low $6.92 Median $18.62 Typical High $34.67 | Professional | None | $6.92 | $18.62 | $34.67 |
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 $1.48 Median $1.91 Typical High $2.57 | Professional | 55 · Aftercare only | $1.48 | $1.91 | $2.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $1.26 Typical High $1.74 | Professional | 56 · Pre-op care only | $0.98 | $1.26 | $1.74 |
Where Kansas sits
The same service costs 3.5 times more in Florida than in Alabama. 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
$28.18
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.