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 $79.43 Median $79.43 Typical High $83.18 | Facility | None | $79.43 | $79.43 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $83.18 | Professional | None | $67.61 | $83.18 | $83.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $213.80 | Facility | None | $204.17 | $213.80 | $213.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $81.28 Typical High $128.82 | Facility | None | $72.44 | $81.28 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $100.00 | Facility | None | $44.67 | $44.67 | $100.00 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $426.58 | Professional | None | $79.43 | $79.43 | $426.58 |
United Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | None | $79.43 | $79.43 | $83.18 |
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 $33.88 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $33.88 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $13.49 | $16.98 | $16.98 |
Where Kansas sits
The same service costs 2.5 times more in Kansas than in Indiana. 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
$141
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.