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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $70.79 | Professional | None | $54.95 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.00 Typical High $10.72 | Professional | 55 · Aftercare only | $8.71 | $10.00 | $10.72 |
BCBS Kansas Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $46.77 | Facility | None | $44.67 | $44.67 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $81.28 Typical High $309.03 | Facility | None | $45.71 | $81.28 | $309.03 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $162.18 Typical High $630.96 | Professional | None | $32.36 | $162.18 | $630.96 |
United Setting Professional Modifier None Typical Low $22.91 Median $34.67 Typical High $61.66 | Professional | None | $22.91 | $34.67 | $61.66 |
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 56 · Pre-op care only Typical Low $4.90 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.90 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Where Kansas sits
The same service costs 2.5 times more in Wyoming than in Florida. 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· 9th of 51
$70.79
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.