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 $83.18 Median $147.91 Typical High $218.78 | Facility | None | $83.18 | $147.91 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $128.82 | Professional | None | $104.71 | $123.03 | $128.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $162.18 Median $173.78 Typical High $257.04 | Facility | None | $162.18 | $173.78 | $257.04 |
BCBS Kansas Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $134.90 Typical High $676.08 | Facility | None | $109.65 | $134.90 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $239.88 Typical High $316.23 | Professional | None | $58.88 | $239.88 | $316.23 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $177.83 Typical High $190.55 | Facility | None | $123.03 | $177.83 | $190.55 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $616.60 | Professional | None | $74.13 | $100.00 | $616.60 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $123.03 | Facility | None | $74.13 | $74.13 | $123.03 |
United Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $257.04 | Professional | None | $51.29 | $74.13 | $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 $52.48 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $24.55 | $25.70 |
Where Kansas sits
The same service costs 4.9 times more in Texas 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· 9th of 51
$162
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.