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 $144.54 Median $269.15 Typical High $389.05 | Facility | None | $144.54 | $269.15 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $154.88 | Professional | None | $123.03 | $144.54 | $154.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $707.95 | Facility | None | $446.68 | $467.74 | $707.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $204.17 Typical High $691.83 | Facility | None | $131.83 | $204.17 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $323.59 Typical High $501.19 | Professional | None | $69.18 | $323.59 | $501.19 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $251.19 | Facility | None | $125.89 | $204.17 | $251.19 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $1,096.48 | Professional | None | $141.25 | $190.55 | $1,096.48 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $144.54 | Facility | None | $87.10 | $87.10 | $144.54 |
United Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $239.88 | Professional | None | $87.10 | $144.54 | $239.88 |
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 $61.66 Median $72.44 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.84 Typical High $30.90 | Professional | 53 · Discontinued | $25.12 | $28.84 | $30.90 |
Where Kansas sits
The same service costs 5.0 times more in Kansas 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· 1st of 51
$437
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.