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 $14.45 Median $45.71 Typical High $45.71 | Facility | None | $14.45 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $15.49 | Professional | None | $10.96 | $14.45 | $15.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.90 Median $40.74 Typical High $60.26 | Facility | None | $38.90 | $40.74 | $60.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $18.62 Typical High $33.11 | Facility | None | $10.23 | $18.62 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $38.02 Typical High $40.74 | Professional | None | $8.91 | $38.02 | $40.74 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $23.99 Typical High $39.81 | Facility | None | $12.59 | $23.99 | $39.81 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $27.54 | Professional | None | $6.17 | $8.71 | $27.54 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $14.45 | Facility | None | $8.71 | $8.71 | $14.45 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $30.20 | Professional | None | $6.17 | $8.71 | $30.20 |
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 $6.31 Median $7.24 Typical High $7.76 | Professional | 52 · Reduced service | $6.31 | $7.24 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.95 Typical High $3.09 | Professional | 53 · Discontinued | $2.51 | $2.95 | $3.09 |
Where Kansas sits
The same service costs 3.5 times more in Kansas than in Maryland. 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
$38.90
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.