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 $1,819.70 Median $5,495.41 Typical High $5,495.41 | Facility | None | $1,819.70 | $5,495.41 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $1,949.84 | Professional | None | $1,584.89 | $1,819.70 | $1,949.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $2,344.23 | Facility | None | $1,479.11 | $1,548.82 | $2,344.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $10,232.93 | Facility | None | $1,659.59 | $1,995.26 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $3,630.78 Typical High $4,265.80 | Professional | None | $954.99 | $3,630.78 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $2,884.03 | Facility | None | $1,584.89 | $2,884.03 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $9,120.11 | Professional | None | $1,096.48 | $1,479.11 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,819.70 | Facility | None | $1,096.48 | $1,096.48 | $1,819.70 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $3,801.89 | Professional | None | $758.58 | $1,096.48 | $3,801.89 |
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 $776.25 Median $912.01 Typical High $977.24 | Professional | 52 · Reduced service | $776.25 | $912.01 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $363.08 Typical High $389.05 | Professional | 53 · Discontinued | $316.23 | $363.08 | $389.05 |
Where Kansas sits
The same service costs 4.3 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· 32nd of 51
$1,820
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.