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 $0.25 Median $0.25 Typical High $4.57 | Facility | None | $0.25 | $0.25 | $4.57 |
Aetna Setting Professional Modifier None Typical Low $0.25 Median $4.57 Typical High $5.62 | Professional | None | $0.25 | $4.57 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.54 Median $0.69 Typical High $0.83 | Professional | 55 · Aftercare only | $0.54 | $0.69 | $0.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $302.00 Median $316.23 Typical High $316.23 | Facility | None | $302.00 | $316.23 | $316.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Medica Setting Facility Modifier None Typical Low $3.39 Median $6.46 Typical High $234.42 | Facility | None | $3.39 | $6.46 | $234.42 |
Medica Setting Professional Modifier None Typical Low $2.24 Median $5.25 Typical High $7.08 | Professional | None | $2.24 | $5.25 | $7.08 |
United Setting Professional Modifier None Typical Low $2.24 Median $5.25 Typical High $8.71 | Professional | None | $2.24 | $5.25 | $8.71 |
1 more rate 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 56 · Pre-op care only Typical Low $0.36 Median $0.46 Typical High $0.56 | Professional | 56 · Pre-op care only | $0.36 | $0.46 | $0.56 |
Where Kansas sits
The same service costs 83.2 times more in Kansas than in Indiana. 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
$240
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.