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 $48.98 Median $91.20 Typical High $154.88 | Facility | None | $48.98 | $91.20 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $52.48 | Professional | None | $37.15 | $48.98 | $52.48 |
BCBS Kansas Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $204.17 | Facility | None | $128.82 | $138.04 | $204.17 |
BCBS Kansas Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $63.10 Typical High $112.20 | Facility | None | $33.88 | $63.10 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $128.82 Typical High $154.88 | Professional | None | $30.20 | $128.82 | $154.88 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $81.28 Typical High $131.83 | Facility | None | $43.65 | $81.28 | $131.83 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $91.20 | Professional | None | $20.42 | $29.51 | $91.20 |
United Setting Facility Modifier None Typical Low $29.51 Median $48.98 Typical High $120.23 | Facility | None | $29.51 | $48.98 | $120.23 |
United Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $102.33 | Professional | None | $20.42 | $29.51 | $102.33 |
3 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 $20.89 Median $24.55 Typical High $25.70 | Professional | 52 · Reduced service | $20.89 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.77 Typical High $10.47 | Professional | 53 · Discontinued | $8.51 | $9.77 | $10.47 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 90 · Outside lab | $33.88 | $33.88 | $33.88 |
Where Kansas sits
The same service costs 3.5 times more in Kansas than in Rhode Island. 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· 1st of 51
$129
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.