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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $77.62 Median $81.28 Typical High $123.03 | Facility | None | $77.62 | $81.28 | $123.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $61.66 Typical High $169.82 | Facility | None | $47.86 | $61.66 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $87.10 | Professional | None | $63.10 | $87.10 | $87.10 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $97.72 Typical High $144.54 | Facility | None | $21.88 | $97.72 | $144.54 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $97.72 | Facility | None | $61.66 | $61.66 | $97.72 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 $48.98 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $23.44 | $23.44 |
Where Kansas sits
The same service costs 15.8 times more in Illinois than in Colorado. 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· 24th of 51
$93.33
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.