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 $446.68 Median $1,445.44 Typical High $2,238.72 | Professional | None | $446.68 | $1,445.44 | $2,238.72 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,019.95 Median $5,888.44 Typical High $6,165.95 | Facility | None | $3,019.95 | $5,888.44 | $6,165.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $2,951.21 | Professional | None | $741.31 | $741.31 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $4,073.80 Typical High $4,168.69 | Facility | None | $1,174.90 | $4,073.80 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,235.94 | Professional | None | $446.68 | $1,621.81 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $2,951.21 Typical High $26,302.68 | Facility | None | $758.58 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $3,801.89 Typical High $12,302.69 | Professional | None | $1,949.84 | $3,801.89 | $12,302.69 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,884.03 Typical High $8,912.51 | Facility | None | $870.96 | $2,884.03 | $8,912.51 |
United Setting Professional Modifier None Typical Low $501.19 Median $1,584.89 Typical High $2,754.23 | Professional | None | $501.19 | $1,584.89 | $2,754.23 |
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 $338.84 Median $954.99 Typical High $1,659.59 | Professional | 54 · Surgery only | $338.84 | $954.99 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $190.55 Typical High $331.13 | Professional | 55 · Aftercare only | $67.61 | $190.55 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $128.82 Typical High $223.87 | Professional | 56 · Pre-op care only | $44.67 | $128.82 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $891.25 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $316.23 | $891.25 | $1,548.82 |
Where Kansas sits
The same service costs 4.5 times more in Alaska than in Nebraska. 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· 6th of 51
$2,570
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.