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 $38.90 Median $158.49 Typical High $158.49 | Facility | None | $38.90 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $53.70 | Professional | None | $38.02 | $50.12 | $53.70 |
BCBS Kansas Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $186.21 | Facility | None | $117.49 | $125.89 | $186.21 |
BCBS Kansas Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $64.57 Typical High $114.82 | Facility | None | $35.48 | $64.57 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $128.82 Typical High $128.82 | Professional | None | $31.62 | $128.82 | $128.82 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $83.18 Typical High $138.04 | Facility | None | $45.71 | $83.18 | $138.04 |
Medica Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $93.33 | Professional | None | $21.38 | $30.20 | $93.33 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $50.12 | Facility | None | $30.20 | $30.20 | $50.12 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $104.71 | Professional | None | $21.38 | $30.20 | $104.71 |
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 $21.88 Median $25.12 Typical High $26.92 | Professional | 52 · Reduced service | $21.88 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.00 Typical High $10.72 | Professional | 53 · Discontinued | $8.71 | $10.00 | $10.72 |
Where Kansas sits
The same service costs 3.8 times more in Kansas than in Texas. 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
$117
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.