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 $3.98 Median $7.41 Typical High $9.55 | Facility | None | $3.98 | $7.41 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.98 Typical High $4.27 | Professional | None | $3.39 | $3.98 | $4.27 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.92 Median $7.24 Typical High $10.72 | Facility | None | $6.92 | $7.24 | $10.72 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $4.68 Typical High $9.12 | Facility | None | $2.63 | $4.68 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $9.55 Typical High $10.96 | Professional | None | $2.29 | $9.55 | $10.96 |
Medica Setting Facility Modifier None Typical Low $3.31 Median $5.01 Typical High $10.00 | Facility | None | $3.31 | $5.01 | $10.00 |
Medica Setting Professional Modifier None Typical Low $1.66 Median $2.40 Typical High $7.41 | Professional | None | $1.66 | $2.40 | $7.41 |
United Setting Facility Modifier None Typical Low $2.40 Median $2.40 Typical High $3.98 | Facility | None | $2.40 | $2.40 | $3.98 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.40 Typical High $7.41 | Professional | None | $1.66 | $2.40 | $7.41 |
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 $1.70 Median $2.00 Typical High $2.09 | Professional | 52 · Reduced service | $1.70 | $2.00 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.79 Typical High $0.83 | Professional | 53 · Discontinued | $0.68 | $0.79 | $0.83 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 4th of 51
$6.92
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.