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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $295.12 | Professional | None | $234.42 | $239.88 | $295.12 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $39.81 | $39.81 | $39.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $204.17 | Facility | None | $194.98 | $194.98 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $323.59 | Professional | None | $165.96 | $194.98 | $323.59 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $512.86 Typical High $1,288.25 | Facility | None | $234.42 | $512.86 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $173.78 Typical High $251.19 | Professional | None | $13.18 | $173.78 | $251.19 |
Medica Setting Professional Modifier RR · Rental Typical Low $13.18 Median $25.12 Typical High $47.86 | Professional | RR · Rental | $13.18 | $25.12 | $47.86 |
United Setting Professional Modifier None Typical Low $19.50 Median $173.78 Typical High $251.19 | Professional | None | $19.50 | $173.78 | $251.19 |
United Setting Professional Modifier RR · Rental Typical Low $12.88 Median $24.55 Typical High $38.02 | Professional | RR · Rental | $12.88 | $24.55 | $38.02 |
1 more rate 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 UE · Used equipment Typical Low $173.78 Median $181.97 Typical High $223.87 | Professional | UE · Used equipment | $173.78 | $181.97 | $223.87 |
Where Kansas sits
The same service costs 27.5 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
$832
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.