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 $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $7.59 Typical High $9.33 | Professional | None | $5.89 | $7.59 | $9.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $7.94 Median $8.13 Typical High $8.32 | Facility | None | $7.94 | $8.13 | $8.32 |
BCBS Kansas Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $9.77 Typical High $12.02 | Facility | None | $8.13 | $9.77 | $12.02 |
Medica Setting Professional Modifier None Typical Low $3.72 Median $8.71 Typical High $11.75 | Professional | None | $3.72 | $8.71 | $11.75 |
United Setting Professional Modifier None Typical Low $3.72 Median $8.71 Typical High $14.45 | Professional | None | $3.72 | $8.71 | $14.45 |
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 $0.89 Median $1.12 Typical High $1.41 | Professional | 55 · Aftercare only | $0.89 | $1.12 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.59 Median $0.76 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.59 | $0.76 | $0.93 |
Where Kansas sits
The same service costs 4.7 times more in Florida 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· 37th of 51
$8.32
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.