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 $64.57 Median $114.82 Typical High $173.78 | Facility | None | $64.57 | $114.82 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $100.00 | Professional | None | $81.28 | $95.50 | $100.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $223.87 Median $234.42 Typical High $354.81 | Facility | None | $223.87 | $234.42 | $354.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $104.71 Typical High $512.86 | Facility | None | $85.11 | $104.71 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $181.97 Typical High $239.88 | Professional | None | $45.71 | $181.97 | $239.88 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $134.90 Typical High $144.54 | Facility | None | $95.50 | $134.90 | $144.54 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $478.63 | Professional | None | $56.23 | $75.86 | $478.63 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $95.50 | Facility | None | $56.23 | $56.23 | $95.50 |
United Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $194.98 | Professional | None | $39.81 | $56.23 | $194.98 |
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 $40.74 Median $47.86 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.05 Typical High $19.95 | Professional | 53 · Discontinued | $16.22 | $19.05 | $19.95 |
Where Kansas sits
The same service costs 3.5 times more in Kansas 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· 1st 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.