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 $38.90 Typical High $47.86 | Facility | None | $19.50 | $38.90 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $22.39 | Professional | None | $15.85 | $20.89 | $22.39 |
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 $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $26.92 Typical High $47.86 | Facility | None | $14.79 | $26.92 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $44.67 Typical High $44.67 | Professional | None | $12.88 | $44.67 | $44.67 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $24.55 Typical High $57.54 | Facility | None | $19.05 | $24.55 | $57.54 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $39.81 | Professional | None | $8.91 | $12.59 | $39.81 |
United Setting Facility Modifier None Typical Low $12.59 Median $20.89 Typical High $60.26 | Facility | None | $12.59 | $20.89 | $60.26 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $43.65 | Professional | None | $8.91 | $12.59 | $43.65 |
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 $9.12 Median $10.47 Typical High $11.22 | Professional | 52 · Reduced service | $9.12 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.17 Typical High $4.47 | Professional | 53 · Discontinued | $3.63 | $4.17 | $4.47 |
Where Kansas sits
The same service costs 3.0 times more in Alaska 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· 4th of 51
$33.88
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.