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 $2,041.74 Median $4,786.30 Typical High $10,715.19 | Facility | None | $2,041.74 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,513.56 | $2,041.74 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $4,168.69 Typical High $4,365.16 | Facility | None | $1,584.89 | $4,168.69 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,348.96 | $1,905.46 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,691.53 Typical High $10,232.93 | Facility | None | $54.95 | $2,691.53 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $1,949.84 Typical High $12,302.69 | Professional | None | $1,412.54 | $1,949.84 | $12,302.69 |
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 $1,380.38 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,380.38 | $1,949.84 | $2,691.53 |
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 $1,122.02 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,122.02 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,412.54 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,412.54 | $1,445.44 |
Where Kansas sits
The same service costs 5.4 times more in Wisconsin 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· 25th of 51
$2,042
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.