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 $288.40 Median $501.19 Typical High $776.25 | Facility | None | $288.40 | $501.19 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $446.68 | Professional | None | $354.81 | $416.87 | $446.68 |
BCBS Kansas Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $912.01 | Facility | None | $575.44 | $616.60 | $912.01 |
BCBS Kansas Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $2,344.23 | Facility | None | $380.19 | $457.09 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $831.76 Typical High $954.99 | Professional | None | $218.78 | $831.76 | $954.99 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $416.87 Typical High $724.44 | Facility | None | $251.19 | $416.87 | $724.44 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $2,089.30 | Professional | None | $251.19 | $346.74 | $2,089.30 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $416.87 | Facility | None | $251.19 | $251.19 | $416.87 |
United Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $870.96 | Professional | None | $173.78 | $251.19 | $870.96 |
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 $177.83 Median $208.93 Typical High $218.78 | Professional | 52 · Reduced service | $177.83 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $83.18 Typical High $89.13 | Professional | 53 · Discontinued | $72.44 | $83.18 | $89.13 |
Where Kansas sits
The same service costs 5.4 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· 6th of 51
$575
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.