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 $323.59 Median $346.74 Typical High $588.84 | Facility | None | $323.59 | $346.74 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $346.74 | Professional | None | $239.88 | $323.59 | $346.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $331.13 Median $346.74 Typical High $346.74 | Facility | None | $331.13 | $346.74 | $346.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $724.44 | Facility | None | $229.09 | $338.84 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $467.74 Typical High $467.74 | Professional | None | $79.43 | $467.74 | $467.74 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $562.34 | Facility | None | $177.83 | $223.87 | $562.34 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $194.98 Typical High $281.84 | Professional | None | $95.50 | $194.98 | $281.84 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $323.59 | Facility | None | $194.98 | $194.98 | $323.59 |
United Setting Professional Modifier None Typical Low $95.50 Median $194.98 Typical High $380.19 | Professional | None | $95.50 | $194.98 | $380.19 |
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 $141.25 Median $162.18 Typical High $173.78 | Professional | 52 · Reduced service | $141.25 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $64.57 Typical High $69.18 | Professional | 53 · Discontinued | $56.23 | $64.57 | $69.18 |
Where Kansas sits
The same service costs 8.9 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· 12th of 51
$331
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.