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 $13.18 Median $39.81 Typical High $39.81 | Facility | None | $13.18 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $13.18 Typical High $14.13 | Professional | None | $9.77 | $13.18 | $14.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $22.91 Median $23.99 Typical High $36.31 | Facility | None | $22.91 | $23.99 | $36.31 |
BCBS Kansas Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $13.80 Typical High $74.13 | Facility | None | $8.71 | $13.80 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $25.70 Typical High $25.70 | Professional | None | $7.59 | $25.70 | $25.70 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $13.18 Typical High $63.10 | Facility | None | $9.12 | $13.18 | $63.10 |
Medica Setting Professional Modifier None Typical Low $5.62 Median $7.94 Typical High $24.55 | Professional | None | $5.62 | $7.94 | $24.55 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $13.18 | Facility | None | $7.94 | $7.94 | $13.18 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.94 Typical High $27.54 | Professional | None | $5.62 | $7.94 | $27.54 |
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 $5.75 Median $6.61 Typical High $7.08 | Professional | 52 · Reduced service | $5.75 | $6.61 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.63 Typical High $2.82 | Professional | 53 · Discontinued | $2.29 | $2.63 | $2.82 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Georgia. 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· 2nd of 51
$22.91
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.