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 $32.36 Median $60.26 Typical High $102.33 | Facility | None | $32.36 | $60.26 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $34.67 | Professional | None | $24.55 | $32.36 | $34.67 |
BCBS Kansas Setting Facility Modifier None Typical Low $85.11 Median $91.20 Typical High $134.90 | Facility | None | $85.11 | $91.20 | $134.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $41.69 Typical High $74.13 | Facility | None | $22.91 | $41.69 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $91.20 Typical High $91.20 | Professional | None | $17.38 | $91.20 | $91.20 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $53.70 Typical High $100.00 | Facility | None | $29.51 | $53.70 | $100.00 |
Medica Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $61.66 | Professional | None | $13.80 | $19.50 | $61.66 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $32.36 | Facility | None | $19.50 | $19.50 | $32.36 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $67.61 | Professional | None | $13.80 | $19.50 | $67.61 |
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 $14.13 Median $16.22 Typical High $17.38 | Professional | 52 · Reduced service | $14.13 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.46 Typical High $6.92 | Professional | 53 · Discontinued | $5.62 | $6.46 | $6.92 |
Where Kansas sits
The same service costs 4.6 times more in Kansas 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· 1st of 51
$85.11
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.