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 $263.03 Median $2,137.96 Typical High $3,548.13 | Professional | None | $263.03 | $2,137.96 | $3,548.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $3,715.35 | Professional | None | $331.13 | $331.13 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,445.44 | Facility | None | $870.96 | $1,230.27 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $1,949.84 Typical High $3,311.31 | Professional | None | $251.19 | $1,949.84 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $891.25 Typical High $3,801.89 | Facility | None | $54.95 | $891.25 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $4,365.16 Typical High $17,378.01 | Professional | None | $1,819.70 | $4,365.16 | $17,378.01 |
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 $251.19 Median $1,584.89 Typical High $2,691.53 | Professional | None | $251.19 | $1,584.89 | $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 $199.53 Median $1,584.89 Typical High $2,691.53 | Professional | 54 · Surgery only | $199.53 | $1,584.89 | $2,691.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $1,479.11 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $186.21 | $1,479.11 | $2,511.89 |
Where Kansas sits
The same service costs 7.1 times more in Oregon 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· 12th of 51
$1,862
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.