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 $20.42 Median $38.02 Typical High $52.48 | Facility | None | $20.42 | $38.02 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $21.88 | Professional | None | $17.78 | $20.42 | $21.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $23.44 Median $24.55 Typical High $36.31 | Facility | None | $23.44 | $24.55 | $36.31 |
BCBS Kansas Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $26.30 Typical High $46.77 | Facility | None | $14.45 | $26.30 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $39.81 Typical High $39.81 | Professional | None | $12.59 | $39.81 | $39.81 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $26.92 Typical High $56.23 | Facility | None | $17.78 | $26.92 | $56.23 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $12.30 Typical High $38.90 | Professional | None | $8.71 | $12.30 | $38.90 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $20.42 | Facility | None | $12.30 | $12.30 | $20.42 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.30 Typical High $41.69 | Professional | None | $8.71 | $12.30 | $41.69 |
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 $8.91 Median $10.23 Typical High $10.96 | Professional | 52 · Reduced service | $8.91 | $10.23 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.17 Typical High $4.37 | Professional | 53 · Discontinued | $3.55 | $4.17 | $4.37 |
Where Kansas sits
The same service costs 3.6 times more in Alaska 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· 15th of 51
$24.55
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.