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 $38.90 Median $69.18 Typical High $104.71 | Facility | None | $38.90 | $69.18 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $60.26 | Professional | None | $48.98 | $57.54 | $60.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $89.13 Median $93.33 Typical High $141.25 | Facility | None | $89.13 | $93.33 | $141.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $63.10 Typical High $309.03 | Facility | None | $51.29 | $63.10 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $83.18 Typical High $83.18 | Professional | None | $26.92 | $83.18 | $83.18 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $57.54 Typical High $100.00 | Facility | None | $33.88 | $57.54 | $100.00 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $288.40 | Professional | None | $33.88 | $33.88 | $288.40 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $57.54 | Facility | None | $33.88 | $33.88 | $57.54 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $97.72 | Professional | None | $23.99 | $33.88 | $97.72 |
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 $24.55 Median $28.84 Typical High $30.20 | Professional | 52 · Reduced service | $24.55 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.48 Typical High $12.02 | Professional | 53 · Discontinued | $9.77 | $11.48 | $12.02 |
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· 3rd of 51
$89.13
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.