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 $204.17 Median $354.81 Typical High $524.81 | Facility | None | $204.17 | $354.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $309.03 | Professional | None | $251.19 | $295.12 | $309.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $416.87 Median $436.52 Typical High $660.69 | Facility | None | $416.87 | $436.52 | $660.69 |
BCBS Kansas Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $323.59 Typical High $1,659.59 | Facility | None | $269.15 | $323.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $588.84 Typical High $758.58 | Professional | None | $141.25 | $588.84 | $758.58 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $426.58 Typical High $457.09 | Facility | None | $295.12 | $426.58 | $457.09 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $1,479.11 | Professional | None | $177.83 | $239.88 | $1,479.11 |
United Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $295.12 | Facility | None | $177.83 | $177.83 | $295.12 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $616.60 | Professional | None | $123.03 | $177.83 | $616.60 |
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 $125.89 Median $147.91 Typical High $154.88 | Professional | 52 · Reduced service | $125.89 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $58.88 Typical High $63.10 | Professional | 53 · Discontinued | $50.12 | $58.88 | $63.10 |
Where Kansas sits
The same service costs 3.8 times more in Alaska than in Alabama. 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· 5th of 51
$417
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.