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 $21.38 Median $38.90 Typical High $52.48 | Facility | None | $21.38 | $38.90 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $22.39 | Professional | None | $18.20 | $21.38 | $22.39 |
BCBS Kansas Setting Facility Modifier None Typical Low $33.11 Median $35.48 Typical High $52.48 | Facility | None | $33.11 | $35.48 | $52.48 |
BCBS Kansas Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $24.55 Typical High $48.98 | Facility | None | $14.13 | $24.55 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $50.12 Typical High $54.95 | Professional | None | $11.75 | $50.12 | $54.95 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $52.48 | Facility | None | $19.05 | $27.54 | $52.48 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $39.81 | Professional | None | $8.91 | $12.88 | $39.81 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $21.38 | Facility | None | $12.88 | $12.88 | $21.38 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $44.67 | Professional | None | $8.91 | $12.88 | $44.67 |
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 $9.12 Median $10.72 Typical High $11.22 | Professional | 52 · Reduced service | $9.12 | $10.72 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.27 Typical High $4.47 | Professional | 53 · Discontinued | $3.63 | $4.27 | $4.47 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 3rd of 51
$33.11
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.