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 $173.78 Median $398.11 Typical High $398.11 | Facility | None | $173.78 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $186.21 | Professional | None | $147.91 | $173.78 | $186.21 |
BCBS Kansas Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $794.33 | Facility | None | $501.19 | $524.81 | $794.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $269.15 Typical High $933.25 | Facility | None | $158.49 | $269.15 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $436.52 Typical High $562.34 | Professional | None | $87.10 | $436.52 | $562.34 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $302.00 | Facility | None | $173.78 | $208.93 | $302.00 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $1,380.38 | Professional | None | $169.82 | $223.87 | $1,380.38 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $173.78 | Facility | None | $104.71 | $104.71 | $173.78 |
United Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $269.15 | Professional | None | $104.71 | $173.78 | $269.15 |
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 $74.13 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $34.67 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $34.67 | $37.15 |
Where Kansas sits
The same service costs 3.7 times more in Kansas than in Illinois. 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
$501
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.