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 $81.28 Median $251.19 Typical High $251.19 | Facility | None | $81.28 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $85.11 | Professional | None | $69.18 | $81.28 | $85.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $218.78 Median $229.09 Typical High $346.74 | Facility | None | $218.78 | $229.09 | $346.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $100.00 Typical High $181.97 | Facility | None | $54.95 | $100.00 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $229.09 Typical High $234.42 | Professional | None | $47.86 | $229.09 | $234.42 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $131.83 Typical High $218.78 | Facility | None | $58.88 | $131.83 | $218.78 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $151.36 | Professional | None | $33.88 | $47.86 | $151.36 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $81.28 | Facility | None | $47.86 | $47.86 | $81.28 |
United Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $165.96 | Professional | None | $33.88 | $47.86 | $165.96 |
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 $34.67 Median $39.81 Typical High $42.66 | Professional | 52 · Reduced service | $34.67 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $13.80 | $16.22 | $16.98 |
Where Kansas sits
The same service costs 4.6 times more in Kansas 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· 1st of 51
$219
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.