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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $69.18 | Professional | None | $44.67 | $56.23 | $69.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $12.59 Median $13.18 Typical High $13.18 | Facility | None | $12.59 | $13.18 | $13.18 |
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 Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $72.44 Typical High $97.72 | Facility | None | $64.57 | $72.44 | $97.72 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $64.57 Typical High $87.10 | Professional | None | $27.54 | $64.57 | $87.10 |
United Setting Professional Modifier None Typical Low $27.54 Median $64.57 Typical High $107.15 | Professional | None | $27.54 | $64.57 | $107.15 |
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 $6.61 Median $8.51 Typical High $10.47 | Professional | 55 · Aftercare only | $6.61 | $8.51 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $5.62 Typical High $6.92 | Professional | 56 · Pre-op care only | $4.47 | $5.62 | $6.92 |
Where Kansas sits
The same service costs 5.5 times more in Iowa than in Kansas. 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· 51st of 51
$16.60
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.