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 $213.80 Median $645.65 Typical High $645.65 | Facility | None | $213.80 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $229.09 | Professional | None | $186.21 | $218.78 | $229.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $380.19 Median $407.38 Typical High $602.56 | Facility | None | $380.19 | $407.38 | $602.56 |
BCBS Kansas Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $1,202.26 | Facility | None | $194.98 | $239.88 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $426.58 Typical High $489.78 | Professional | None | $112.20 | $426.58 | $489.78 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $338.84 Typical High $338.84 | Facility | None | $190.55 | $338.84 | $338.84 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $1,096.48 | Professional | None | $131.83 | $177.83 | $1,096.48 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $218.78 | Facility | None | $131.83 | $131.83 | $218.78 |
United Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $457.09 | Professional | None | $91.20 | $131.83 | $457.09 |
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 $93.33 Median $109.65 Typical High $114.82 | Professional | 52 · Reduced service | $93.33 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $43.65 Typical High $45.71 | Professional | 53 · Discontinued | $37.15 | $43.65 | $45.71 |
Where Kansas sits
The same service costs 3.6 times more in Alaska than in Oklahoma. 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· 3rd of 51
$380
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.