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 $21.88 Median $40.74 Typical High $69.18 | Facility | None | $21.88 | $40.74 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $21.88 Typical High $23.44 | Professional | None | $19.05 | $21.88 | $23.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $66.07 Median $69.18 Typical High $104.71 | Facility | None | $66.07 | $69.18 | $104.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $28.18 Typical High $50.12 | Facility | None | $15.49 | $28.18 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $57.54 Typical High $77.62 | Professional | None | $13.49 | $57.54 | $77.62 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $36.31 Typical High $60.26 | Facility | None | $19.95 | $36.31 | $60.26 |
Medica Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $40.74 | Professional | None | $9.33 | $13.18 | $40.74 |
United Setting Facility Modifier None Typical Low $13.18 Median $21.88 Typical High $75.86 | Facility | None | $13.18 | $21.88 | $75.86 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $45.71 | Professional | None | $9.33 | $13.18 | $45.71 |
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 $10.96 Typical High $11.75 | Professional | 52 · Reduced service | $9.55 | $10.96 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.37 Typical High $4.68 | Professional | 53 · Discontinued | $3.80 | $4.37 | $4.68 |
Where Kansas sits
The same service costs 4.8 times more in Kansas than in Texas. 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
$66.07
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.