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 $3,388.44 Median $6,309.57 Typical High $16,218.10 | Facility | None | $3,388.44 | $6,309.57 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,290.87 | $2,754.23 | $3,388.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,897.79 Typical High $5,011.87 | Facility | None | $707.95 | $4,897.79 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $3,019.95 Typical High $3,388.44 | Professional | None | $2,137.96 | $3,019.95 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $3,630.78 Typical High $9,549.93 | Facility | None | $1,258.93 | $3,630.78 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $15,848.93 | Professional | None | $2,187.76 | $2,884.03 | $15,848.93 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $3,630.78 | Professional | None | $2,137.96 | $2,630.27 | $3,630.78 |
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 $1,737.80 Median $2,041.74 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,737.80 | $2,041.74 | $2,511.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,905.46 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,905.46 | $2,398.83 |
Where Kansas sits
The same service costs 9.1 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· 23rd of 51
$3,020
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.