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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $69.18 | Professional | None | $46.77 | $54.95 | $69.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,380.38 | Facility | None | $1,096.48 | $1,148.15 | $1,380.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $2,089.30 Typical High $2,344.23 | Facility | None | $426.58 | $2,089.30 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $70.79 Typical High $102.33 | Professional | None | $46.77 | $70.79 | $102.33 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $1,698.24 Typical High $12,022.64 | Facility | None | $83.18 | $1,698.24 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $549.54 | Professional | None | $48.98 | $58.88 | $549.54 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $89.13 | Professional | None | $48.98 | $52.48 | $89.13 |
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 $35.48 Median $41.69 Typical High $51.29 | Professional | 54 · Surgery only | $35.48 | $41.69 | $51.29 |
Where Kansas sits
The same service costs 20.9 times more in Oklahoma than in Kentucky. 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· 3rd of 51
$871
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.