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 $20.89 Median $77.62 Typical High $109.65 | Facility | None | $20.89 | $77.62 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $64.57 | Professional | None | $45.71 | $61.66 | $64.57 |
BCBS Kansas Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $79.43 | Facility | None | $50.12 | $52.48 | $79.43 |
BCBS Kansas Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $63.10 Typical High $141.25 | Facility | None | $40.74 | $63.10 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $89.13 Typical High $89.13 | Professional | None | $22.91 | $89.13 | $89.13 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $52.48 Typical High $107.15 | Facility | None | $39.81 | $52.48 | $107.15 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $83.18 | Professional | None | $25.70 | $37.15 | $83.18 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $61.66 | Facility | None | $37.15 | $37.15 | $61.66 |
United Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $83.18 | Professional | None | $25.70 | $37.15 | $83.18 |
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 $26.30 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $26.30 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.30 Typical High $13.18 | Professional | 53 · Discontinued | $10.47 | $12.30 | $13.18 |
Where Kansas sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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· 19th of 51
$60.26
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.