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 $75.86 Median $107.15 Typical High $165.96 | Facility | None | $75.86 | $107.15 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $97.72 | Professional | None | $79.43 | $91.20 | $97.72 |
BCBS Kansas Setting Facility Modifier None Typical Low $100.00 Median $104.71 Typical High $158.49 | Facility | None | $100.00 | $104.71 | $158.49 |
BCBS Kansas Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $512.86 | Facility | None | $83.18 | $102.33 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $181.97 Typical High $239.88 | Professional | None | $43.65 | $181.97 | $239.88 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $131.83 Typical High $144.54 | Facility | None | $91.20 | $131.83 | $144.54 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $457.09 | Professional | None | $54.95 | $75.86 | $457.09 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $91.20 | Facility | None | $54.95 | $54.95 | $91.20 |
United Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $190.55 | Professional | None | $38.90 | $54.95 | $190.55 |
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 $39.81 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $39.81 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $15.85 | $18.20 | $19.50 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 15th of 51
$105
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.