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 $87.10 Median $154.88 Typical High $234.42 | Facility | None | $87.10 | $154.88 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $134.90 | Professional | None | $109.65 | $128.82 | $134.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $281.84 Median $295.12 Typical High $436.52 | Facility | None | $281.84 | $295.12 | $436.52 |
BCBS Kansas Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $616.60 | Facility | None | $114.82 | $141.25 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $218.78 Typical High $288.40 | Professional | None | $60.26 | $218.78 | $288.40 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $173.78 | Facility | None | $128.82 | $162.18 | $173.78 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $630.96 | Professional | None | $75.86 | $91.20 | $630.96 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $128.82 | Facility | None | $75.86 | $75.86 | $128.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $257.04 | Professional | None | $53.70 | $75.86 | $257.04 |
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 $54.95 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $54.95 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $21.88 | $25.70 | $26.92 |
Where Kansas sits
The same service costs 4.6 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· 2nd of 51
$282
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.