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 $32.36 Median $57.54 Typical High $87.10 | Facility | None | $32.36 | $57.54 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $50.12 | Professional | None | $40.74 | $46.77 | $50.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $257.04 | Facility | None | $162.18 | $169.82 | $257.04 |
BCBS Kansas Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $52.48 Typical High $169.82 | Facility | None | $42.66 | $52.48 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $69.18 Typical High $69.18 | Professional | None | $22.39 | $69.18 | $69.18 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $46.77 Typical High $81.28 | Facility | None | $28.18 | $46.77 | $81.28 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $234.42 | Professional | None | $28.18 | $28.18 | $234.42 |
United Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $46.77 | Facility | None | $28.18 | $28.18 | $46.77 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $79.43 | Professional | None | $19.95 | $28.18 | $79.43 |
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 $20.42 Median $23.44 Typical High $25.12 | Professional | 52 · Reduced service | $20.42 | $23.44 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.33 Typical High $10.00 | Professional | 53 · Discontinued | $8.13 | $9.33 | $10.00 |
Where Kansas sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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
$162
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.