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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $338.84 | Professional | None | $213.80 | $275.42 | $338.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $309.03 Typical High $316.23 | Facility | None | $295.12 | $309.03 | $316.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $346.74 Typical High $436.52 | Facility | None | $295.12 | $346.74 | $436.52 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $309.03 Typical High $416.87 | Professional | None | $134.90 | $309.03 | $416.87 |
United Setting Professional Modifier None Typical Low $134.90 Median $309.03 Typical High $512.86 | Professional | None | $134.90 | $309.03 | $512.86 |
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 $32.36 Median $41.69 Typical High $50.12 | Professional | 55 · Aftercare only | $32.36 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $27.54 Typical High $33.88 | Professional | 56 · Pre-op care only | $21.38 | $27.54 | $33.88 |
Where Kansas sits
The same service costs 3.2 times more in Iowa than in New York. 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· 31st of 51
$316
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.