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 $85.11 Median $147.91 Typical High $218.78 | Facility | None | $85.11 | $147.91 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
BCBS Kansas Setting Facility Modifier None Typical Low $14.45 Median $15.14 Typical High $22.91 | Facility | None | $14.45 | $15.14 | $22.91 |
BCBS Kansas Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $87.10 Typical High $173.78 | Facility | None | $72.44 | $87.10 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $114.82 | Professional | None | $91.20 | $114.82 | $114.82 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $104.71 Typical High $380.19 | Facility | None | $63.10 | $104.71 | $380.19 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $147.91 | Professional | None | $44.67 | $60.26 | $147.91 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $79.43 | Facility | None | $47.86 | $47.86 | $79.43 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $173.78 | Professional | None | $44.67 | $60.26 | $173.78 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Where Kansas sits
The same service costs 24.0 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· 48th of 51
$22.91
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.