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 $177.83 Median $316.23 Typical High $467.74 | Facility | None | $177.83 | $316.23 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $275.42 | Professional | None | $223.87 | $263.03 | $275.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $407.38 Median $602.56 Typical High $645.65 | Facility | None | $407.38 | $602.56 | $645.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $288.40 Typical High $1,445.44 | Facility | None | $234.42 | $288.40 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $512.86 Typical High $676.08 | Professional | None | $125.89 | $512.86 | $676.08 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $380.19 Typical High $407.38 | Facility | None | $263.03 | $380.19 | $407.38 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $1,318.26 | Professional | None | $154.88 | $213.80 | $1,318.26 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $263.03 | Facility | None | $154.88 | $154.88 | $263.03 |
United Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $537.03 | Professional | None | $109.65 | $154.88 | $537.03 |
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 $112.20 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $52.48 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $52.48 | $54.95 |
Where Kansas sits
The same service costs 3.4 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
$427
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.