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 $117.49 Median $186.21 Typical High $302.00 | Facility | None | $117.49 | $186.21 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $181.97 | Professional | None | $144.54 | $169.82 | $181.97 |
BCBS Kansas Setting Facility Modifier None Typical Low $251.19 Median $263.03 Typical High $398.11 | Facility | None | $251.19 | $263.03 | $398.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $524.81 | Facility | None | $154.88 | $186.21 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $245.47 Typical High $245.47 | Professional | None | $75.86 | $245.47 | $245.47 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $147.91 Typical High $181.97 | Facility | None | $125.89 | $147.91 | $181.97 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $851.14 | Professional | None | $77.62 | $102.33 | $851.14 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $169.82 | Facility | None | $102.33 | $102.33 | $169.82 |
United Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $281.84 | Professional | None | $70.79 | $102.33 | $281.84 |
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 $72.44 Median $85.11 Typical High $89.13 | Professional | 52 · Reduced service | $72.44 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.88 Typical High $36.31 | Professional | 53 · Discontinued | $29.51 | $33.88 | $36.31 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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· 3rd of 51
$251
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.