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 $6.31 Median $7.76 Typical High $7.76 | Facility | None | $6.31 | $7.76 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.61 Typical High $7.76 | Professional | None | $6.31 | $6.61 | $7.76 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.17 Median $6.61 Typical High $6.61 | Facility | None | $6.17 | $6.61 | $6.61 |
BCBS Kansas Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $5.50 Typical High $8.71 | Facility | None | $4.90 | $5.50 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $0.38 Median $4.79 Typical High $4.79 | Professional | None | $0.38 | $4.79 | $4.79 |
Medica Setting Facility Modifier None Typical Low $6.31 Median $7.76 Typical High $9.33 | Facility | None | $6.31 | $7.76 | $9.33 |
Medica Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $3.47 | Professional | None | $0.02 | $0.02 | $3.47 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $3.31 | Professional | None | $0.02 | $0.02 | $3.31 |
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 $0.93 Median $1.00 Typical High $1.17 | Professional | 55 · Aftercare only | $0.93 | $1.00 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.63 Median $0.66 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.63 | $0.66 | $0.78 |
Where Kansas sits
The same service costs 380.2 times more in Alaska 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· 8th of 51
$5.50
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.