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 $120.23 Median $208.93 Typical High $323.59 | Facility | None | $120.23 | $208.93 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $173.78 Typical High $186.21 | Professional | None | $151.36 | $173.78 | $186.21 |
BCBS Kansas Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $204.17 | Facility | None | $128.82 | $138.04 | $204.17 |
BCBS Kansas Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $194.98 Typical High $707.95 | Facility | None | $158.49 | $194.98 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $251.19 Typical High $331.13 | Professional | None | $81.28 | $251.19 | $331.13 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $186.21 Typical High $199.53 | Facility | None | $158.49 | $186.21 | $199.53 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $870.96 | Professional | None | $104.71 | $104.71 | $870.96 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $173.78 | Facility | None | $104.71 | $104.71 | $173.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $295.12 | Professional | None | $74.13 | $104.71 | $295.12 |
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 $75.86 Median $87.10 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $34.67 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $34.67 | $37.15 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 19th of 51
$174
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.