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 $25.70 Median $47.86 Typical High $81.28 | Facility | None | $25.70 | $47.86 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $25.70 Typical High $27.54 | Professional | None | $22.39 | $25.70 | $27.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $74.13 Median $77.62 Typical High $117.49 | Facility | None | $74.13 | $77.62 | $117.49 |
BCBS Kansas Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $33.11 Typical High $58.88 | Facility | None | $18.20 | $33.11 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $66.07 Typical High $79.43 | Professional | None | $15.85 | $66.07 | $79.43 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $42.66 Typical High $69.18 | Facility | None | $23.44 | $42.66 | $69.18 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $47.86 | Professional | None | $10.96 | $15.49 | $47.86 |
United Setting Facility Modifier None Typical Low $15.49 Median $25.70 Typical High $75.86 | Facility | None | $15.49 | $25.70 | $75.86 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $53.70 | Professional | None | $10.96 | $15.49 | $53.70 |
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 $11.22 Median $12.88 Typical High $13.80 | Professional | 52 · Reduced service | $11.22 | $12.88 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.13 Typical High $5.50 | Professional | 53 · Discontinued | $4.47 | $5.13 | $5.50 |
Where Kansas sits
The same service costs 4.0 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
$74.13
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.