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 $158.49 Typical High $257.04 | Facility | None | $117.49 | $158.49 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $151.36 | Professional | None | $123.03 | $141.25 | $151.36 |
BCBS Kansas Setting Facility Modifier None Typical Low $169.82 Median $251.19 Typical High $269.15 | Facility | None | $169.82 | $251.19 | $269.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $323.59 | Facility | None | $128.82 | $147.91 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $208.93 Typical High $269.15 | Professional | None | $64.57 | $208.93 | $269.15 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $141.25 Typical High $245.47 | Facility | None | $85.11 | $141.25 | $245.47 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $707.95 | Professional | None | $85.11 | $85.11 | $707.95 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $141.25 | Facility | None | $85.11 | $85.11 | $141.25 |
United Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $239.88 | Professional | None | $60.26 | $85.11 | $239.88 |
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 $61.66 Median $70.79 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $24.55 | $28.84 | $30.20 |
Where Kansas sits
The same service costs 5.1 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· 8th of 51
$178
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.