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 $5.62 Median $19.05 Typical High $25.12 | Facility | None | $5.62 | $19.05 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $14.79 | Professional | None | $10.23 | $14.13 | $14.79 |
BCBS Kansas Setting Facility Modifier None Typical Low $26.30 Median $27.54 Typical High $41.69 | Facility | None | $26.30 | $27.54 | $41.69 |
BCBS Kansas Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $14.45 Typical High $32.36 | Facility | None | $7.76 | $14.45 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $20.42 Typical High $30.90 | Professional | None | $3.89 | $20.42 | $30.90 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $10.23 Typical High $24.55 | Facility | None | $8.91 | $10.23 | $24.55 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $8.51 Typical High $14.45 | Professional | None | $5.01 | $8.51 | $14.45 |
United Setting Facility Modifier None Typical Low $8.51 Median $10.47 Typical High $14.13 | Facility | None | $8.51 | $10.47 | $14.13 |
United Setting Professional Modifier None Typical Low $5.01 Median $8.51 Typical High $16.60 | Professional | None | $5.01 | $8.51 | $16.60 |
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 $7.08 Typical High $7.41 | Professional | 52 · Reduced service | $6.03 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.82 Typical High $2.95 | Professional | 53 · Discontinued | $2.40 | $2.82 | $2.95 |
Where Kansas sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 2nd of 51
$26.30
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.