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 $12.59 Median $22.91 Typical High $39.81 | Facility | None | $12.59 | $22.91 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.59 Typical High $13.18 | Professional | None | $10.72 | $12.59 | $13.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.90 Median $40.74 Typical High $61.66 | Facility | None | $38.90 | $40.74 | $61.66 |
BCBS Kansas Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $16.22 Typical High $28.84 | Facility | None | $8.71 | $16.22 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $32.36 Typical High $45.71 | Professional | None | $7.76 | $32.36 | $45.71 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $20.42 Typical High $33.88 | Facility | None | $11.22 | $20.42 | $33.88 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $7.59 Typical High $23.44 | Professional | None | $5.25 | $7.59 | $23.44 |
United Setting Facility Modifier None Typical Low $7.59 Median $12.59 Typical High $44.67 | Facility | None | $7.59 | $12.59 | $44.67 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.59 Typical High $26.30 | Professional | None | $5.25 | $7.59 | $26.30 |
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 $5.37 Median $6.31 Typical High $6.61 | Professional | 52 · Reduced service | $5.37 | $6.31 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.51 Typical High $2.63 | Professional | 53 · Discontinued | $2.14 | $2.51 | $2.63 |
Where Kansas sits
The same service costs 4.2 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
$38.90
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.