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 $141.25 Median $190.55 Typical High $288.40 | Facility | None | $141.25 | $190.55 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | None | $141.25 | $141.25 | $162.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $48.98 Median $51.29 Typical High $75.86 | Facility | None | $48.98 | $51.29 | $75.86 |
BCBS Kansas Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $316.23 | Facility | None | $128.82 | $147.91 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $208.93 Typical High $269.15 | Professional | None | $72.44 | $208.93 | $269.15 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $141.25 Typical High $223.87 | Facility | None | $42.66 | $141.25 | $223.87 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $95.50 Typical High $707.95 | Professional | None | $87.10 | $95.50 | $707.95 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $141.25 | Facility | None | $85.11 | $85.11 | $141.25 |
United Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $257.04 | Professional | None | $66.07 | $91.20 | $257.04 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Where Kansas sits
The same service costs 4.3 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· 50th of 51
$81.28
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.