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 $75.86 Median $131.83 Typical High $199.53 | Facility | None | $75.86 | $131.83 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $114.82 | Professional | None | $93.33 | $109.65 | $114.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $173.78 Median $186.21 Typical High $275.42 | Facility | None | $173.78 | $186.21 | $275.42 |
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 $97.72 Median $120.23 Typical High $602.56 | Facility | None | $97.72 | $120.23 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $213.80 Typical High $281.84 | Professional | None | $52.48 | $213.80 | $281.84 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $169.82 | Facility | None | $109.65 | $158.49 | $169.82 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $549.54 | Professional | None | $66.07 | $89.13 | $549.54 |
United Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $109.65 | Facility | None | $66.07 | $66.07 | $109.65 |
United Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $229.09 | Professional | None | $45.71 | $66.07 | $229.09 |
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 $46.77 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $21.88 | $22.91 |
Where Kansas sits
The same service costs 3.9 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· 5th of 51
$174
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.