How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $218.78 Median $257.04 Typical High $288.40 | Facility | None | $218.78 | $257.04 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $263.03 | Professional | None | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $131.83 | Professional | 52 · Reduced service | $128.82 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $51.29 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $269.15 | Professional | None | $234.42 | $257.04 | $269.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $239.88 | Professional | None | $194.98 | $194.98 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $245.47 Typical High $363.08 | Facility | None | $100.00 | $245.47 | $363.08 |
Where Kansas sits
The same service costs 6.3 times more in Alaska 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· 17th 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.