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 $114.82 Median $467.74 Typical High $467.74 | Facility | None | $114.82 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $158.49 | Professional | None | $128.82 | $147.91 | $158.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $354.81 Median $380.19 Typical High $562.34 | Facility | None | $354.81 | $380.19 | $562.34 |
BCBS Kansas Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $190.55 Typical High $338.84 | Facility | None | $104.71 | $190.55 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $371.54 Typical High $446.68 | Professional | None | $77.62 | $371.54 | $446.68 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $245.47 Typical High $398.11 | Facility | None | $134.90 | $245.47 | $398.11 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $275.42 | Professional | None | $61.66 | $89.13 | $275.42 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $147.91 | Facility | None | $89.13 | $89.13 | $147.91 |
United Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $309.03 | Professional | None | $61.66 | $89.13 | $309.03 |
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 $63.10 Median $74.13 Typical High $79.43 | Professional | 52 · Reduced service | $63.10 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $29.51 Typical High $31.62 | Professional | 53 · Discontinued | $25.70 | $29.51 | $31.62 |
Where Kansas sits
The same service costs 5.8 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
$355
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.