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 $3.63 Median $4.90 Typical High $4.90 | Facility | None | $3.63 | $4.90 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $4.17 Typical High $4.90 | Professional | None | $3.09 | $4.17 | $4.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $3.02 Median $3.24 Typical High $3.24 | Facility | None | $3.02 | $3.24 | $3.24 |
BCBS Kansas Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $8.91 Typical High $12.02 | Facility | None | $3.09 | $8.91 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $5.37 | Professional | None | $3.09 | $3.09 | $5.37 |
Medica Setting Facility Modifier None Typical Low $3.31 Median $14.45 Typical High $14.45 | Facility | None | $3.31 | $14.45 | $14.45 |
Medica Setting Professional Modifier None Typical Low $1.29 Median $3.24 Typical High $3.80 | Professional | None | $1.29 | $3.24 | $3.80 |
United Setting Professional Modifier None Typical Low $1.26 Median $3.16 Typical High $3.55 | Professional | None | $1.26 | $3.16 | $3.55 |
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 $0.46 Median $0.62 Typical High $0.72 | Professional | 55 · Aftercare only | $0.46 | $0.62 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.42 Typical High $0.49 | Professional | 56 · Pre-op care only | $0.31 | $0.42 | $0.49 |
Where Kansas sits
The same service costs 3.5 times more in Oklahoma than in Virginia. 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· 29th of 51
$3.16
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.