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 $141.25 Median $251.19 Typical High $371.54 | Facility | None | $141.25 | $251.19 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $218.78 | Professional | None | $177.83 | $208.93 | $218.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $125.89 Median $131.83 Typical High $199.53 | Facility | None | $125.89 | $131.83 | $199.53 |
BCBS Kansas Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $1,148.15 | Facility | None | $186.21 | $229.09 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $407.38 Typical High $537.03 | Professional | None | $100.00 | $407.38 | $537.03 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $323.59 | Facility | None | $208.93 | $302.00 | $323.59 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $1,047.13 | Professional | None | $123.03 | $169.82 | $1,047.13 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $208.93 | Facility | None | $123.03 | $123.03 | $208.93 |
United Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $426.58 | Professional | None | $87.10 | $123.03 | $426.58 |
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 $89.13 Median $104.71 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $35.48 | $41.69 | $43.65 |
Where Kansas sits
The same service costs 3.8 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· 31st of 51
$191
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.