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 $2.57 Median $2.57 Typical High $3.98 | Facility | None | $2.57 | $2.57 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $3.98 | Professional | None | $2.57 | $3.24 | $3.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $4.47 Median $4.68 Typical High $4.68 | Facility | None | $4.47 | $4.68 | $4.68 |
BCBS Kansas Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $10.00 Typical High $11.48 | Facility | None | $2.95 | $10.00 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Medica Setting Facility Modifier None Typical Low $3.98 Median $4.57 Typical High $11.48 | Facility | None | $3.98 | $4.57 | $11.48 |
Medica Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $4.90 | Professional | None | $3.47 | $3.47 | $4.90 |
United Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $4.90 | Professional | None | $3.16 | $3.16 | $4.90 |
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 $0.38 Median $0.49 Typical High $0.60 | Professional | 55 · Aftercare only | $0.38 | $0.49 | $0.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.33 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.26 | $0.33 | $0.40 |
Where Kansas sits
The same service costs 6.0 times more in Oklahoma than in Wyoming. 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· 4th of 51
$4.47
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.