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 $2.82 Median $4.27 Typical High $4.27 | Facility | None | $2.82 | $4.27 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $3.02 Typical High $4.27 | Professional | None | $2.19 | $3.02 | $4.27 |
BCBS Kansas Setting Facility Modifier None Typical Low $2.34 Median $2.51 Typical High $2.51 | Facility | None | $2.34 | $2.51 | $2.51 |
BCBS Kansas Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Cigna Setting Facility Modifier None Typical Low $2.24 Median $6.46 Typical High $8.51 | Facility | None | $2.24 | $6.46 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Medica Setting Facility Modifier None Typical Low $2.14 Median $6.61 Typical High $6.61 | Facility | None | $2.14 | $6.61 | $6.61 |
Medica Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $3.72 | Professional | None | $2.19 | $2.19 | $3.72 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $4.68 | Professional | None | $2.40 | $2.40 | $4.68 |
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 $0.33 Median $0.45 Typical High $0.65 | Professional | 55 · Aftercare only | $0.33 | $0.45 | $0.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.30 Typical High $0.43 | Professional | 56 · Pre-op care only | $0.22 | $0.30 | $0.43 |
Where Kansas sits
The same service costs 1.9 times more in Wyoming than in South Carolina. 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· 21st of 51
$2.40
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.