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 $43.65 Median $77.62 Typical High $114.82 | Facility | None | $43.65 | $77.62 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | None | $54.95 | $64.57 | $67.61 |
BCBS Kansas Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $89.13 | Facility | None | $56.23 | $58.88 | $89.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $70.79 Typical High $181.97 | Facility | None | $57.54 | $70.79 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $93.33 Typical High $93.33 | Professional | None | $30.20 | $93.33 | $93.33 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $64.57 Typical High $112.20 | Facility | None | $38.02 | $64.57 | $112.20 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $316.23 | Professional | None | $38.02 | $38.02 | $316.23 |
United Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $64.57 | Facility | None | $38.02 | $38.02 | $64.57 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $109.65 | Professional | None | $26.92 | $38.02 | $109.65 |
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 $27.54 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $27.54 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.88 Typical High $13.49 | Professional | 53 · Discontinued | $10.96 | $12.88 | $13.49 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 20th of 51
$64.57
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.