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 $239.88 Median $416.87 Typical High $630.96 | Facility | None | $239.88 | $416.87 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $371.54 | Professional | None | $302.00 | $346.74 | $371.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $141.25 Median $147.91 Typical High $223.87 | Facility | None | $141.25 | $147.91 | $223.87 |
BCBS Kansas Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $1,621.81 | Facility | None | $316.23 | $389.05 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $575.44 Typical High $758.58 | Professional | None | $165.96 | $575.44 | $758.58 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $457.09 | Facility | None | $346.74 | $416.87 | $457.09 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $1,737.80 | Professional | None | $208.93 | $234.42 | $1,737.80 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $346.74 | Facility | None | $208.93 | $208.93 | $346.74 |
United Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $676.08 | Professional | None | $147.91 | $208.93 | $676.08 |
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 $151.36 Median $173.78 Typical High $186.21 | Professional | 52 · Reduced service | $151.36 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $69.18 Typical High $74.13 | Professional | 53 · Discontinued | $60.26 | $69.18 | $74.13 |
Where Kansas sits
The same service costs 4.5 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· 50th of 51
$224
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.