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 $19.50 Median $26.92 Typical High $75.86 | Facility | None | $19.50 | $26.92 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $43.65 Typical High $46.77 | Professional | None | $38.02 | $43.65 | $46.77 |
BCBS Kansas Setting Facility Modifier None Typical Low $33.88 Median $35.48 Typical High $53.70 | Facility | None | $33.88 | $35.48 | $53.70 |
BCBS Kansas Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $45.71 Typical High $100.00 | Facility | None | $24.55 | $45.71 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $63.10 Typical High $64.57 | Professional | None | $12.02 | $63.10 | $64.57 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $28.84 Typical High $75.86 | Facility | None | $14.13 | $28.84 | $75.86 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $26.30 Typical High $38.02 | Professional | None | $7.41 | $26.30 | $38.02 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $43.65 | Facility | None | $26.30 | $26.30 | $43.65 |
United Setting Professional Modifier None Typical Low $7.41 Median $26.30 Typical High $51.29 | Professional | None | $7.41 | $26.30 | $51.29 |
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 $19.05 Median $21.88 Typical High $23.44 | Professional | 52 · Reduced service | $19.05 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.71 Typical High $9.33 | Professional | 53 · Discontinued | $7.59 | $8.71 | $9.33 |
Where Kansas sits
The same service costs 5.6 times more in Alaska than in Georgia. 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· 20th of 51
$38.90
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.