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 $11.75 Median $16.60 Typical High $33.11 | Facility | None | $11.75 | $16.60 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $20.42 | Professional | None | $16.60 | $19.50 | $20.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $34.67 Median $36.31 Typical High $54.95 | Facility | None | $34.67 | $36.31 | $54.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $24.55 Typical High $43.65 | Facility | None | $13.18 | $24.55 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $30.20 Typical High $30.90 | Professional | None | $11.48 | $30.20 | $30.90 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $17.78 Typical High $51.29 | Facility | None | $8.51 | $17.78 | $51.29 |
Medica Setting Professional Modifier None Typical Low $2.40 Median $11.48 Typical High $36.31 | Professional | None | $2.40 | $11.48 | $36.31 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $19.50 | Facility | None | $11.48 | $11.48 | $19.50 |
United Setting Professional Modifier None Typical Low $2.40 Median $11.48 Typical High $39.81 | Professional | None | $2.40 | $11.48 | $39.81 |
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 $8.32 Median $9.55 Typical High $10.23 | Professional | 52 · Reduced service | $8.32 | $9.55 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.89 Typical High $4.07 | Professional | 53 · Discontinued | $3.31 | $3.89 | $4.07 |
Where Kansas sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$34.67
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.