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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $128.82 | Professional | None | $74.13 | $107.15 | $128.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $75.86 Median $331.13 Typical High $346.74 | Facility | None | $75.86 | $331.13 | $346.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $234.42 | Professional | None | $158.49 | $158.49 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $112.20 | Facility | None | $75.86 | $95.50 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $208.93 | Professional | None | $83.18 | $128.82 | $208.93 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $630.96 Typical High $11,481.54 | Facility | None | $117.49 | $630.96 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $251.19 Typical High $851.14 | Professional | None | $114.82 | $251.19 | $851.14 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $186.21 | Professional | None | $77.62 | $114.82 | $186.21 |
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 52 · Reduced service Typical Low $37.15 Median $45.71 Typical High $64.57 | Professional | 52 · Reduced service | $37.15 | $45.71 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.20 Typical High $25.70 | Professional | 53 · Discontinued | $14.79 | $18.20 | $25.70 |
Where Kansas sits
The same service costs 2.8 times more in Alaska 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· 5th of 51
$195
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.