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 $3.98 Median $7.41 Typical High $7.41 | Facility | None | $3.98 | $7.41 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.98 Typical High $4.27 | Professional | None | $3.47 | $3.98 | $4.27 |
BCBS Kansas Setting Facility Modifier None Typical Low $4.37 Median $4.57 Typical High $6.92 | Facility | None | $4.37 | $4.57 | $6.92 |
BCBS Kansas Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $4.17 Typical High $9.12 | Facility | None | $2.63 | $4.17 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $6.03 Typical High $6.03 | Professional | None | $1.58 | $6.03 | $6.03 |
Medica Setting Facility Modifier None Typical Low $2.95 Median $3.89 Typical High $6.92 | Facility | None | $2.95 | $3.89 | $6.92 |
Medica Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $5.75 | Professional | None | $2.40 | $3.98 | $5.75 |
United Setting Facility Modifier None Typical Low $2.40 Median $2.40 Typical High $3.98 | Facility | None | $2.40 | $2.40 | $3.98 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $5.89 | Professional | None | $2.40 | $3.98 | $5.89 |
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 $1.74 Median $2.00 Typical High $2.14 | Professional | 52 · Reduced service | $1.74 | $2.00 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.79 Typical High $0.85 | Professional | 53 · Discontinued | $0.69 | $0.79 | $0.85 |
Where Kansas sits
The same service costs 3.3 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· 12th of 51
$4.47
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.