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 $151.36 Median $263.03 Typical High $407.38 | Facility | None | $151.36 | $263.03 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $218.78 Typical High $234.42 | Professional | None | $190.55 | $218.78 | $234.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $316.23 Median $338.84 Typical High $501.19 | Facility | None | $316.23 | $338.84 | $501.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $245.47 Typical High $1,230.27 | Facility | None | $199.53 | $245.47 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $436.52 Typical High $575.44 | Professional | None | $104.71 | $436.52 | $575.44 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $323.59 Typical High $346.74 | Facility | None | $218.78 | $323.59 | $346.74 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $1,096.48 | Professional | None | $131.83 | $181.97 | $1,096.48 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $218.78 | Facility | None | $131.83 | $131.83 | $218.78 |
United Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $457.09 | Professional | None | $93.33 | $131.83 | $457.09 |
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 $95.50 Median $109.65 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $43.65 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $43.65 | $46.77 |
Where Kansas sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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· 6th of 51
$316
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.