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 $33.11 Median $162.18 Typical High $204.17 | Facility | None | $33.11 | $162.18 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $87.10 Typical High $93.33 | Professional | None | $75.86 | $87.10 | $93.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $87.10 Median $91.20 Typical High $138.04 | Facility | None | $87.10 | $91.20 | $138.04 |
BCBS Kansas Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $97.72 Typical High $199.53 | Facility | None | $57.54 | $97.72 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $154.88 Typical High $154.88 | Professional | None | $41.69 | $154.88 | $154.88 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $107.15 Typical High $173.78 | Facility | None | $64.57 | $107.15 | $173.78 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $141.25 | Professional | None | $37.15 | $52.48 | $141.25 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $87.10 | Facility | None | $52.48 | $52.48 | $87.10 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $158.49 | Professional | None | $37.15 | $52.48 | $158.49 |
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 $38.02 Median $43.65 Typical High $46.77 | Professional | 52 · Reduced service | $38.02 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.38 Typical High $18.62 | Professional | 53 · Discontinued | $15.14 | $17.38 | $18.62 |
Where Kansas sits
The same service costs 4.2 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· 18th of 51
$91.20
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.