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 $79.43 Median $269.15 Typical High $269.15 | Facility | None | $79.43 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $91.20 | Professional | None | $63.10 | $87.10 | $91.20 |
BCBS Kansas Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $181.97 | Facility | None | $117.49 | $123.03 | $181.97 |
BCBS Kansas Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $109.65 Typical High $199.53 | Facility | None | $60.26 | $109.65 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $208.93 Typical High $208.93 | Professional | None | $51.29 | $208.93 | $208.93 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $141.25 Typical High $234.42 | Facility | None | $63.10 | $141.25 | $234.42 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $162.18 | Professional | None | $36.31 | $52.48 | $162.18 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $87.10 | Facility | None | $52.48 | $52.48 | $87.10 |
United Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $181.97 | Professional | None | $36.31 | $52.48 | $181.97 |
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 $43.65 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.38 Typical High $18.62 | Professional | 53 · Discontinued | $14.79 | $17.38 | $18.62 |
Where Kansas sits
The same service costs 4.1 times more in Alaska than in Alabama. 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· 11th of 51
$120
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.