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 $6.61 Median $23.99 Typical High $24.55 | Facility | None | $6.61 | $23.99 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $13.80 | Professional | None | $11.22 | $13.18 | $13.80 |
BCBS Kansas Setting Facility Modifier None Typical Low $21.88 Median $22.91 Typical High $34.67 | Facility | None | $21.88 | $22.91 | $34.67 |
BCBS Kansas Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $13.49 Typical High $30.20 | Facility | None | $8.71 | $13.49 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $19.95 Typical High $23.99 | Professional | None | $5.13 | $19.95 | $23.99 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $12.59 Typical High $22.91 | Facility | None | $9.55 | $12.59 | $22.91 |
Medica Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $18.62 | Professional | None | $5.50 | $7.94 | $18.62 |
United Setting Facility Modifier None Typical Low $7.94 Median $13.18 Typical High $23.99 | Facility | None | $7.94 | $13.18 | $23.99 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $18.62 | Professional | None | $5.50 | $7.94 | $18.62 |
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 $5.62 Median $6.61 Typical High $6.92 | Professional | 52 · Reduced service | $5.62 | $6.61 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.63 Typical High $2.82 | Professional | 53 · Discontinued | $2.24 | $2.63 | $2.82 |
Where Kansas sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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· 2nd of 51
$21.88
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.