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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $602.56 | Professional | None | $416.87 | $588.84 | $602.56 |
Ambetter Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $602.56 | Professional | None | $549.54 | $602.56 | $602.56 |
BCBS Kansas Setting Facility Modifier None Typical Low $741.31 Median $776.25 Typical High $776.25 | Facility | None | $741.31 | $776.25 | $776.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $660.69 Typical High $3,311.31 | Facility | None | $416.87 | $660.69 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $4,677.35 | Professional | None | $295.12 | $457.09 | $4,677.35 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $812.83 | Facility | None | $691.83 | $691.83 | $812.83 |
United Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $512.86 | Professional | None | $245.47 | $398.11 | $512.86 |
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 $61.66 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $61.66 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $58.88 Typical High $60.26 | Professional | 56 · Pre-op care only | $41.69 | $58.88 | $60.26 |
Where Kansas sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 7th of 51
$741
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.