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 $19.95 Median $36.31 Typical High $50.12 | Facility | None | $19.95 | $36.31 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $20.89 | Professional | None | $16.98 | $19.95 | $20.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $79.43 | Facility | None | $50.12 | $52.48 | $79.43 |
BCBS Kansas Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $21.88 Typical High $44.67 | Facility | None | $12.88 | $21.88 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $41.69 Typical High $53.70 | Professional | None | $9.77 | $41.69 | $53.70 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $26.30 Typical High $42.66 | Facility | None | $14.45 | $26.30 | $42.66 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $33.11 | Professional | None | $8.32 | $12.02 | $33.11 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $19.95 | Facility | None | $12.02 | $12.02 | $19.95 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $38.90 | Professional | None | $8.32 | $12.02 | $38.90 |
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 $8.51 Median $10.00 Typical High $10.47 | Professional | 52 · Reduced service | $8.51 | $10.00 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.98 Typical High $4.17 | Professional | 53 · Discontinued | $3.39 | $3.98 | $4.17 |
Where Kansas sits
The same service costs 3.8 times more in Kansas than in Delaware. 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
$50.12
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.