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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $977.24 | Professional | None | $676.08 | $954.99 | $977.24 |
Ambetter Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,023.29 | Facility | None | $954.99 | $1,000.00 | $1,023.29 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,071.52 Typical High $6,025.60 | Facility | None | $676.08 | $1,071.52 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $870.96 Typical High $6,606.93 | Professional | None | $549.54 | $870.96 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,584.89 | Facility | None | $1,348.96 | $1,348.96 | $1,584.89 |
United Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $891.25 | Professional | None | $426.58 | $645.65 | $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 $100.00 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $100.00 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $95.50 Typical High $97.72 | Professional | 56 · Pre-op care only | $67.61 | $95.50 | $97.72 |
Where Kansas sits
The same service costs 2.4 times more in Hawaii 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· 17th of 51
$1,000
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.