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 $60.26 Median $75.86 Typical High $117.49 | Facility | None | $60.26 | $75.86 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $69.18 | Professional | None | $56.23 | $66.07 | $69.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $120.23 Median $128.82 Typical High $190.55 | Facility | None | $120.23 | $128.82 | $190.55 |
BCBS Kansas Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $72.44 Typical High $275.42 | Facility | None | $58.88 | $72.44 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $97.72 Typical High $128.82 | Professional | None | $30.90 | $97.72 | $128.82 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $70.79 Typical High $77.62 | Facility | None | $60.26 | $70.79 | $77.62 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $331.13 | Professional | None | $39.81 | $40.74 | $331.13 |
United Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $66.07 | Facility | None | $39.81 | $39.81 | $66.07 |
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $114.82 | Professional | None | $27.54 | $39.81 | $114.82 |
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 $28.18 Median $33.11 Typical High $34.67 | Professional | 52 · Reduced service | $28.18 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $13.18 Typical High $13.80 | Professional | 53 · Discontinued | $11.22 | $13.18 | $13.80 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 4th of 51
$120
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.