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 $380.19 Median $676.08 Typical High $1,000.00 | Facility | None | $380.19 | $676.08 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $588.84 | Professional | None | $478.63 | $562.34 | $588.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $2,344.23 | Facility | None | $1,513.56 | $1,584.89 | $2,344.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $616.60 Typical High $1,230.27 | Facility | None | $501.19 | $616.60 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $812.83 Typical High $812.83 | Professional | None | $263.03 | $812.83 | $812.83 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $562.34 Typical High $977.24 | Facility | None | $331.13 | $562.34 | $977.24 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $2,754.23 | Professional | None | $331.13 | $331.13 | $2,754.23 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $562.34 | Facility | None | $331.13 | $331.13 | $562.34 |
United Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $954.99 | Professional | None | $234.42 | $331.13 | $954.99 |
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 $239.88 Median $275.42 Typical High $295.12 | Professional | 52 · Reduced service | $239.88 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $95.50 | $112.20 | $117.49 |
Where Kansas sits
The same service costs 4.6 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
$1,514
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.