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 $25.70 Typical High $43.65 | Facility | None | $13.18 | $25.70 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $13.80 Typical High $14.79 | Professional | None | $12.02 | $13.80 | $14.79 |
BCBS Kansas Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $54.95 | Facility | None | $35.48 | $37.15 | $54.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $17.78 Typical High $31.62 | Facility | None | $9.77 | $17.78 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $36.31 Typical High $41.69 | Professional | None | $8.51 | $36.31 | $41.69 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $22.91 Typical High $38.02 | Facility | None | $12.59 | $22.91 | $38.02 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $8.32 Typical High $25.70 | Professional | None | $5.89 | $8.32 | $25.70 |
United Setting Facility Modifier None Typical Low $8.32 Median $13.80 Typical High $30.20 | Facility | None | $8.32 | $13.80 | $30.20 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.32 Typical High $28.84 | Professional | None | $5.89 | $8.32 | $28.84 |
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 $6.03 Median $6.92 Typical High $7.41 | Professional | 52 · Reduced service | $6.03 | $6.92 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.75 Typical High $2.95 | Professional | 53 · Discontinued | $2.40 | $2.75 | $2.95 |
Where Kansas sits
The same service costs 3.4 times more in Kansas than in Maryland. 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
$35.48
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.