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 $0.87 Median $1.10 Typical High $3.31 | Facility | None | $0.87 | $1.10 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.95 Typical High $2.63 | Professional | None | $1.10 | $1.95 | $2.63 |
BCBS Kansas Setting Facility Modifier None Typical Low $1.95 Median $2.04 Typical High $2.04 | Facility | None | $1.95 | $2.04 | $2.04 |
BCBS Kansas Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
Cigna Setting Facility Modifier None Typical Low $1.95 Median $5.62 Typical High $7.59 | Facility | None | $1.95 | $5.62 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $0.93 Median $1.95 Typical High $2.45 | Professional | None | $0.93 | $1.95 | $2.45 |
Medica Setting Facility Modifier None Typical Low $0.68 Median $1.00 Typical High $2.40 | Facility | None | $0.68 | $1.00 | $2.40 |
Medica Setting Professional Modifier None Typical Low $0.69 Median $1.74 Typical High $1.74 | Professional | None | $0.69 | $1.74 | $1.74 |
United Setting Professional Modifier None Typical Low $0.36 Median $0.91 Typical High $1.02 | Professional | None | $0.36 | $0.91 | $1.02 |
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 $0.16 Median $0.28 Typical High $0.40 | Professional | 55 · Aftercare only | $0.16 | $0.28 | $0.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.19 Typical High $0.26 | Professional | 56 · Pre-op care only | $0.11 | $0.19 | $0.26 |
Where Kansas sits
The same service costs 2.3 times more in Arkansas than in North 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· 3rd of 51
$2.04
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.