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 $8.71 Median $16.22 Typical High $25.70 | Facility | None | $8.71 | $16.22 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $8.71 Typical High $9.33 | Professional | None | $6.61 | $8.71 | $9.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $16.98 Median $17.78 Typical High $26.92 | Facility | None | $16.98 | $17.78 | $26.92 |
BCBS Kansas Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $10.72 Typical High $19.95 | Facility | None | $5.75 | $10.72 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $20.89 Typical High $21.88 | Professional | None | $5.01 | $20.89 | $21.88 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $13.49 Typical High $22.39 | Facility | None | $7.59 | $13.49 | $22.39 |
Medica Setting Professional Modifier None Typical Low $3.72 Median $5.25 Typical High $16.60 | Professional | None | $3.72 | $5.25 | $16.60 |
United Setting Facility Modifier None Typical Low $5.25 Median $8.71 Typical High $23.99 | Facility | None | $5.25 | $8.71 | $23.99 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.25 Typical High $18.20 | Professional | None | $3.72 | $5.25 | $18.20 |
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 $3.80 Median $4.37 Typical High $4.68 | Professional | 52 · Reduced service | $3.80 | $4.37 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.78 Typical High $1.86 | Professional | 53 · Discontinued | $1.51 | $1.78 | $1.86 |
Where Kansas sits
The same service costs 3.5 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
$16.98
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.