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 $691.83 Median $794.33 Typical High $1,096.48 | Professional | None | $691.83 | $794.33 | $1,096.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $562.34 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $478.63 | $562.34 | $758.58 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,011.87 Typical High $5,248.07 | Facility | None | $707.95 | $5,011.87 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,174.90 | Professional | None | $676.08 | $891.25 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,949.84 Typical High $8,317.64 | Facility | None | $54.95 | $1,949.84 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,122.02 Typical High $4,897.79 | Professional | None | $676.08 | $1,122.02 | $4,897.79 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $1,096.48 | Professional | None | $660.69 | $776.25 | $1,096.48 |
1 more rate 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 $512.86 Median $602.56 Typical High $812.83 | Professional | 54 · Surgery only | $512.86 | $602.56 | $812.83 |
Where Kansas sits
The same service costs 24.0 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
$891
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.