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 $18.20 Median $33.11 Typical High $54.95 | Facility | None | $18.20 | $33.11 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $19.05 | Professional | None | $15.49 | $18.20 | $19.05 |
BCBS Kansas Setting Facility Modifier None Typical Low $107.15 Median $112.20 Typical High $169.82 | Facility | None | $107.15 | $112.20 | $169.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $23.44 Typical High $40.74 | Facility | None | $13.49 | $23.44 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $53.70 Typical High $114.82 | Professional | None | $12.88 | $53.70 | $114.82 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $28.84 Typical High $56.23 | Facility | None | $16.22 | $28.84 | $56.23 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $33.88 | Professional | None | $7.59 | $10.96 | $33.88 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $18.20 | Facility | None | $10.96 | $10.96 | $18.20 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $37.15 | Professional | None | $7.59 | $10.96 | $37.15 |
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 $7.76 Median $9.12 Typical High $9.55 | Professional | 52 · Reduced service | $7.76 | $9.12 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.63 Typical High $3.80 | Professional | 53 · Discontinued | $3.09 | $3.63 | $3.80 |
Where Kansas sits
The same service costs 4.7 times more in Kansas than in Texas. 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
$56.23
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.