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 $1,819.70 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,819.70 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $2,238.72 | Professional | None | $1,288.25 | $1,778.28 | $2,238.72 |
BCBS Kansas Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $398.11 Typical High $426.58 | Facility | None | $288.40 | $398.11 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,584.89 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $676.08 Typical High $2,754.23 | Facility | None | $54.95 | $676.08 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $8,511.38 | Professional | None | $1,096.48 | $1,548.82 | $8,511.38 |
United Setting Facility Modifier None Typical Low $331.13 Median $676.08 Typical High $2,454.71 | Facility | None | $331.13 | $676.08 | $2,454.71 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,412.54 | $1,621.81 |
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 $954.99 Median $1,318.26 Typical High $1,698.24 | Professional | 54 · Surgery only | $954.99 | $1,318.26 | $1,698.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,230.27 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $891.25 | $1,230.27 | $1,584.89 |
Where Kansas sits
The same service costs 6.3 times more in Wyoming 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· 22nd of 51
$1,413
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.