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 $15.14 Median $47.86 Typical High $47.86 | Facility | None | $15.14 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $19.05 | Professional | None | $15.14 | $17.78 | $19.05 |
BCBS Kansas Setting Facility Modifier None Typical Low $40.74 Median $43.65 Typical High $64.57 | Facility | None | $40.74 | $43.65 | $64.57 |
BCBS Kansas Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $19.50 Typical High $40.74 | Facility | None | $11.75 | $19.50 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $38.90 Typical High $43.65 | Professional | None | $9.33 | $38.90 | $43.65 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $24.55 Typical High $40.74 | Facility | None | $15.85 | $24.55 | $40.74 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $10.72 Typical High $30.90 | Professional | None | $7.41 | $10.72 | $30.90 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $17.78 | Facility | None | $10.72 | $10.72 | $17.78 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.72 Typical High $36.31 | Professional | None | $7.41 | $10.72 | $36.31 |
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 $7.59 Median $8.91 Typical High $9.33 | Professional | 52 · Reduced service | $7.59 | $8.91 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.55 Typical High $3.80 | Professional | 53 · Discontinued | $3.09 | $3.55 | $3.80 |
Where Kansas sits
The same service costs 3.8 times more in Kansas than in Texas. 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
$40.74
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.