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 $77.62 Median $229.09 Typical High $288.40 | Facility | None | $77.62 | $229.09 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $169.82 | Professional | None | $138.04 | $162.18 | $169.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $173.78 Median $181.97 Typical High $275.42 | Facility | None | $173.78 | $181.97 | $275.42 |
BCBS Kansas Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $165.96 Typical High $371.54 | Facility | None | $91.20 | $165.96 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $234.42 Typical High $234.42 | Professional | None | $43.65 | $234.42 | $234.42 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $117.49 Typical High $281.84 | Facility | None | $114.82 | $117.49 | $281.84 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $97.72 Typical High $173.78 | Professional | None | $60.26 | $97.72 | $173.78 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $162.18 | Facility | None | $97.72 | $97.72 | $162.18 |
United Setting Professional Modifier None Typical Low $60.26 Median $97.72 Typical High $190.55 | Professional | None | $60.26 | $97.72 | $190.55 |
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 $69.18 Median $81.28 Typical High $85.11 | Professional | 52 · Reduced service | $69.18 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $34.67 | Professional | 53 · Discontinued | $27.54 | $32.36 | $34.67 |
Where Kansas sits
The same service costs 7.6 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· 9th of 51
$182
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.