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 $26.30 Median $48.98 Typical High $83.18 | Facility | None | $26.30 | $48.98 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $28.18 | Professional | None | $22.91 | $26.30 | $28.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $64.57 Median $67.61 Typical High $102.33 | Facility | None | $64.57 | $67.61 | $102.33 |
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 $18.62 Median $33.88 Typical High $60.26 | Facility | None | $18.62 | $33.88 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $69.18 Typical High $70.79 | Professional | None | $16.22 | $69.18 | $70.79 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $43.65 Typical High $72.44 | Facility | None | $23.99 | $43.65 | $72.44 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $50.12 | Professional | None | $11.22 | $15.85 | $50.12 |
United Setting Facility Modifier None Typical Low $15.85 Median $26.30 Typical High $104.71 | Facility | None | $15.85 | $26.30 | $104.71 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $54.95 | Professional | None | $11.22 | $15.85 | $54.95 |
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 $11.48 Median $13.18 Typical High $14.13 | Professional | 52 · Reduced service | $11.48 | $13.18 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $4.57 | $5.37 | $5.62 |
Where Kansas sits
The same service costs 3.6 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
$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.