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 $177.83 Median $223.87 Typical High $331.13 | Facility | None | $177.83 | $223.87 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $194.98 | Professional | None | $138.04 | $186.21 | $194.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $281.84 Median $295.12 Typical High $446.68 | Facility | None | $281.84 | $295.12 | $446.68 |
BCBS Kansas Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $204.17 Typical High $501.19 | Facility | None | $165.96 | $204.17 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $269.15 Typical High $269.15 | Professional | None | $87.10 | $269.15 | $269.15 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $186.21 Typical High $323.59 | Facility | None | $112.20 | $186.21 | $323.59 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $933.25 | Professional | None | $112.20 | $112.20 | $933.25 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $186.21 | Facility | None | $112.20 | $112.20 | $186.21 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $316.23 | Professional | None | $77.62 | $112.20 | $316.23 |
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 $79.43 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $79.43 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $38.90 | Professional | 53 · Discontinued | $31.62 | $37.15 | $38.90 |
Where Kansas sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 4th of 51
$282
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.