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 $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,318.26 | $1,621.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,090.30 Median $8,511.38 Typical High $8,912.51 | Facility | None | $3,090.30 | $8,511.38 | $8,912.51 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,466.84 Typical High $5,011.87 | Facility | None | $676.08 | $4,466.84 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,584.89 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $3,981.07 Typical High $33,884.42 | Facility | None | $1,071.52 | $3,981.07 | $33,884.42 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $7,762.47 | Professional | None | $1,122.02 | $1,412.54 | $7,762.47 |
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 $1,071.52 Median $1,230.27 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,230.27 | $1,737.80 |
4 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 $794.33 Median $1,000.00 Typical High $1,230.27 | Professional | 54 · Surgery only | $794.33 | $1,000.00 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $199.53 Typical High $245.47 | Professional | 55 · Aftercare only | $158.49 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $131.83 Typical High $162.18 | Professional | 56 · Pre-op care only | $107.15 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $933.25 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $741.31 | $933.25 | $1,148.15 |
Where Kansas sits
The same service costs 7.6 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· 21st of 51
$1,622
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.