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 $257.04 Median $489.78 Typical High $602.56 | Facility | None | $257.04 | $489.78 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $281.84 | Professional | None | $223.87 | $263.03 | $281.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $316.23 Typical High $467.74 | Facility | None | $295.12 | $316.23 | $467.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $288.40 Typical High $1,202.26 | Facility | None | $239.88 | $288.40 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $416.87 Typical High $489.78 | Professional | None | $125.89 | $416.87 | $489.78 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $331.13 Typical High $338.84 | Facility | None | $229.09 | $331.13 | $338.84 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $173.78 Typical High $1,318.26 | Professional | None | $158.49 | $173.78 | $1,318.26 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $263.03 | Facility | None | $158.49 | $158.49 | $263.03 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $489.78 | Professional | None | $109.65 | $158.49 | $489.78 |
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 $112.20 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $45.71 | $52.48 | $56.23 |
Where Kansas sits
The same service costs 4.5 times more in Alaska than in Georgia. 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· 13th of 51
$309
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.