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 $28.84 Median $53.70 Typical High $91.20 | Facility | None | $28.84 | $53.70 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $30.90 | Professional | None | $21.38 | $28.84 | $30.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $239.88 Median $251.19 Typical High $380.19 | Facility | None | $239.88 | $251.19 | $380.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $36.31 Typical High $66.07 | Facility | None | $19.95 | $36.31 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $74.13 Typical High $257.04 | Professional | None | $17.78 | $74.13 | $257.04 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $47.86 Typical High $63.10 | Facility | None | $25.70 | $47.86 | $63.10 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $53.70 | Professional | None | $12.02 | $17.38 | $53.70 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $28.84 | Facility | None | $17.38 | $17.38 | $28.84 |
United Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $60.26 | Professional | None | $12.02 | $17.38 | $60.26 |
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 $12.30 Median $14.45 Typical High $15.14 | Professional | 52 · Reduced service | $12.30 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.75 Typical High $6.17 | Professional | 53 · Discontinued | $5.01 | $5.75 | $6.17 |
Where Kansas sits
The same service costs 5.5 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
$102
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.