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 $22.39 Median $41.69 Typical High $61.66 | Facility | None | $22.39 | $41.69 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $23.99 | Professional | None | $16.98 | $22.39 | $23.99 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.02 Median $40.74 Typical High $60.26 | Facility | None | $38.02 | $40.74 | $60.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $25.12 Typical High $51.29 | Facility | None | $14.79 | $25.12 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $46.77 Typical High $46.77 | Professional | None | $11.75 | $46.77 | $46.77 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $31.62 Typical High $41.69 | Facility | None | $17.38 | $31.62 | $41.69 |
Medica Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $39.81 | Professional | None | $9.33 | $13.49 | $39.81 |
United Setting Facility Modifier None Typical Low $13.49 Median $22.39 Typical High $22.39 | Facility | None | $13.49 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $46.77 | Professional | None | $9.33 | $13.49 | $46.77 |
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 $9.55 Median $11.22 Typical High $11.75 | Professional | 52 · Reduced service | $9.55 | $11.22 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.47 Typical High $4.79 | Professional | 53 · Discontinued | $3.89 | $4.47 | $4.79 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in New York. 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
$38.02
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.