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 $16.22 Median $51.29 Typical High $51.29 | Facility | None | $16.22 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $16.98 | Professional | None | $12.02 | $16.22 | $16.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $21.88 Median $22.91 Typical High $34.67 | Facility | None | $21.88 | $22.91 | $34.67 |
BCBS Kansas Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $20.89 Typical High $37.15 | Facility | None | $11.22 | $20.89 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $39.81 Typical High $39.81 | Professional | None | $10.00 | $39.81 | $39.81 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $26.30 Typical High $43.65 | Facility | None | $14.45 | $26.30 | $43.65 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $30.20 | Professional | None | $6.76 | $9.77 | $30.20 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $16.22 | Facility | None | $9.77 | $9.77 | $16.22 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $33.88 | Professional | None | $6.76 | $9.77 | $33.88 |
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 $6.92 Median $8.13 Typical High $8.51 | Professional | 52 · Reduced service | $6.92 | $8.13 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.24 Typical High $3.39 | Professional | 53 · Discontinued | $2.75 | $3.24 | $3.39 |
Where Kansas sits
The same service costs 3.0 times more in Alaska than in Rhode Island. 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· 13th of 51
$21.88
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.