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 $12.30 Median $22.39 Typical High $38.90 | Facility | None | $12.30 | $22.39 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $12.88 | Professional | None | $9.12 | $12.30 | $12.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $28.84 Median $30.20 Typical High $45.71 | Facility | None | $28.84 | $30.20 | $45.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $15.85 Typical High $28.18 | Facility | None | $8.51 | $15.85 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $30.90 Typical High $30.90 | Professional | None | $7.41 | $30.90 | $30.90 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $19.95 Typical High $33.11 | Facility | None | $10.96 | $19.95 | $33.11 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $22.91 | Professional | None | $5.13 | $7.41 | $22.91 |
United Setting Facility Modifier None Typical Low $7.41 Median $12.30 Typical High $34.67 | Facility | None | $7.41 | $12.30 | $34.67 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $25.70 | Professional | None | $5.13 | $7.41 | $25.70 |
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 $5.25 Median $6.17 Typical High $6.46 | Professional | 52 · Reduced service | $5.25 | $6.17 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.45 Typical High $2.57 | Professional | 53 · Discontinued | $2.09 | $2.45 | $2.57 |
Where Kansas sits
The same service costs 3.2 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
$28.84
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.