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 $549.54 Median $977.24 Typical High $977.24 | Facility | None | $549.54 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $977.24 | Professional | None | $467.74 | $630.96 | $977.24 |
BCBS Kansas Setting Facility Modifier None Typical Low $588.84 Median $616.60 Typical High $616.60 | Facility | None | $588.84 | $616.60 | $616.60 |
BCBS Kansas Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,995.26 Typical High $2,290.87 | Facility | None | $588.84 | $1,995.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $831.76 Typical High $831.76 | Facility | None | $407.38 | $831.76 | $831.76 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $501.19 Typical High $933.25 | Professional | None | $489.78 | $501.19 | $933.25 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $891.25 | Professional | None | $467.74 | $467.74 | $891.25 |
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 $69.18 Median $95.50 Typical High $144.54 | Professional | 55 · Aftercare only | $69.18 | $95.50 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $63.10 Typical High $97.72 | Professional | 56 · Pre-op care only | $46.77 | $63.10 | $97.72 |
Where Kansas sits
The same service costs 3.9 times more in Alabama than in Oklahoma. 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· 8th of 51
$589
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.