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 $3,467.37 Median $6,309.57 Typical High $16,218.10 | Facility | None | $3,467.37 | $6,309.57 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $3,467.37 | Professional | None | $2,344.23 | $2,818.38 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $15,488.17 Typical High $16,218.10 | Facility | None | $691.83 | $15,488.17 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $3,548.13 | Professional | None | $2,454.71 | $3,090.30 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $5,011.87 Typical High $10,715.19 | Facility | None | $1,202.26 | $5,011.87 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $16,218.10 | Professional | None | $2,290.87 | $2,951.21 | $16,218.10 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,165.95 Typical High $18,197.01 | Facility | None | $1,122.02 | $6,165.95 | $18,197.01 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $3,801.89 | Professional | None | $2,238.72 | $2,754.23 | $3,801.89 |
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 54 · Surgery only Typical Low $1,778.28 Median $2,089.30 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,778.28 | $2,089.30 | $2,570.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,949.84 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,949.84 | $2,398.83 |
Where Kansas sits
The same service costs 8.1 times more in Alaska than in Texas. 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· 22nd of 51
$3,162
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.