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 $18.62 Median $52.48 Typical High $104.71 | Facility | None | $18.62 | $52.48 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $63.10 | Professional | None | $51.29 | $60.26 | $63.10 |
BCBS Kansas Setting Facility Modifier None Typical Low $36.31 Median $38.90 Typical High $57.54 | Facility | None | $36.31 | $38.90 | $57.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $61.66 Typical High $120.23 | Facility | None | $27.54 | $61.66 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $87.10 Typical High $87.10 | Professional | None | $10.96 | $87.10 | $87.10 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $36.31 Typical High $104.71 | Facility | None | $27.54 | $36.31 | $104.71 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $36.31 Typical High $52.48 | Professional | None | $14.13 | $36.31 | $52.48 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $60.26 | Facility | None | $36.31 | $36.31 | $60.26 |
United Setting Professional Modifier None Typical Low $14.13 Median $36.31 Typical High $70.79 | Professional | None | $14.13 | $36.31 | $70.79 |
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 $25.70 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $25.70 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.02 Typical High $12.59 | Professional | 53 · Discontinued | $10.23 | $12.02 | $12.59 |
Where Kansas sits
The same service costs 8.7 times more in Alaska 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· 19th of 51
$52.48
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.