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 $52.48 Median $151.36 Typical High $269.15 | Facility | None | $52.48 | $151.36 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $91.20 | Professional | None | $72.44 | $85.11 | $91.20 |
BCBS Kansas Setting Facility Modifier None Typical Low $114.82 Median $123.03 Typical High $181.97 | Facility | None | $114.82 | $123.03 | $181.97 |
BCBS Kansas Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $138.04 Typical High $478.63 | Facility | None | $77.62 | $138.04 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $204.17 Typical High $204.17 | Professional | None | $40.74 | $204.17 | $204.17 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $141.25 Typical High $147.91 | Facility | None | $74.13 | $141.25 | $147.91 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $691.83 | Professional | None | $51.29 | $63.10 | $691.83 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $85.11 | Facility | None | $51.29 | $51.29 | $85.11 |
United Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $177.83 | Professional | None | $35.48 | $51.29 | $177.83 |
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 $36.31 Median $42.66 Typical High $44.67 | Professional | 52 · Reduced service | $36.31 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $18.20 | Professional | 53 · Discontinued | $14.79 | $16.98 | $18.20 |
Where Kansas sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$115
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.