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 $30.90 Median $57.54 Typical High $85.11 | Facility | None | $30.90 | $57.54 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $33.11 | Professional | None | $23.44 | $30.90 | $33.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $56.23 Median $60.26 Typical High $89.13 | Facility | None | $56.23 | $60.26 | $89.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $39.81 Typical High $70.79 | Facility | None | $21.88 | $39.81 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $75.86 Typical High $75.86 | Professional | None | $19.05 | $75.86 | $75.86 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $44.67 Typical High $83.18 | Facility | None | $28.18 | $44.67 | $83.18 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $57.54 | Professional | None | $12.88 | $18.62 | $57.54 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $30.90 | Facility | None | $18.62 | $18.62 | $30.90 |
United Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $64.57 | Professional | None | $12.88 | $18.62 | $64.57 |
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 $13.18 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $13.18 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.17 Typical High $6.61 | Professional | 53 · Discontinued | $5.37 | $6.17 | $6.61 |
Where Kansas sits
The same service costs 3.7 times more in Alaska 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· 2nd 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.