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 $102.33 Median $181.97 Typical High $275.42 | Facility | None | $102.33 | $181.97 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $158.49 | Professional | None | $128.82 | $151.36 | $158.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $218.78 Median $229.09 Typical High $346.74 | Facility | None | $218.78 | $229.09 | $346.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $457.09 | Facility | None | $134.90 | $165.96 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $218.78 Typical High $218.78 | Professional | None | $70.79 | $218.78 | $218.78 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $151.36 Typical High $263.03 | Facility | None | $91.20 | $151.36 | $263.03 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $758.58 | Professional | None | $91.20 | $91.20 | $758.58 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $151.36 | Facility | None | $91.20 | $91.20 | $151.36 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $257.04 | Professional | None | $63.10 | $91.20 | $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 $64.57 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $64.57 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $25.70 | $30.20 | $31.62 |
Where Kansas sits
The same service costs 5.4 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
$219
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.