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 $1,698.24 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $812.83 | Professional | None | $537.03 | $660.69 | $812.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $776.25 Median $812.83 Typical High $1,122.02 | Facility | None | $776.25 | $812.83 | $1,122.02 |
BCBS Kansas Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,258.93 Typical High $1,318.26 | Facility | None | $602.56 | $1,258.93 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $812.83 | Professional | None | $549.54 | $707.95 | $812.83 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,096.48 Typical High $16,218.10 | Facility | None | $537.03 | $1,096.48 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $676.08 Typical High $4,466.84 | Professional | None | $524.81 | $676.08 | $4,466.84 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $851.14 | Professional | None | $512.86 | $602.56 | $851.14 |
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 $398.11 Median $501.19 Typical High $616.60 | Professional | 54 · Surgery only | $398.11 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $467.74 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $371.54 | $467.74 | $575.44 |
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· 18th of 51
$776
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.