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 $15.85 Median $19.05 Typical High $29.51 | Facility | None | $15.85 | $19.05 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $18.20 | Professional | None | $12.59 | $16.98 | $18.20 |
BCBS Kansas Setting Facility Modifier None Typical Low $23.99 Median $25.12 Typical High $37.15 | Facility | None | $23.99 | $25.12 | $37.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $17.78 Typical High $81.28 | Facility | None | $10.00 | $17.78 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $25.70 Typical High $32.36 | Professional | None | $8.51 | $25.70 | $32.36 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $16.98 Typical High $81.28 | Facility | None | $12.59 | $16.98 | $81.28 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $29.51 | Professional | None | $7.24 | $10.23 | $29.51 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $16.98 | Facility | None | $10.23 | $10.23 | $16.98 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $33.88 | Professional | None | $7.24 | $10.23 | $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 $7.41 Median $8.51 Typical High $9.12 | Professional | 52 · Reduced service | $7.41 | $8.51 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.47 Typical High $3.63 | Professional | 53 · Discontinued | $2.95 | $3.47 | $3.63 |
Where Kansas sits
The same service costs 9.5 times more in Minnesota than in Kentucky. 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· 10th of 51
$23.99
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.