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 $20.89 Median $38.90 Typical High $60.26 | Facility | None | $20.89 | $38.90 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $22.39 | Professional | None | $18.20 | $20.89 | $22.39 |
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 $13.80 Median $24.55 Typical High $47.86 | Facility | None | $13.80 | $24.55 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $48.98 Typical High $53.70 | Professional | None | $11.75 | $48.98 | $53.70 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $51.29 | Facility | None | $19.05 | $30.90 | $51.29 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $38.90 | Professional | None | $8.91 | $12.59 | $38.90 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $20.89 | Facility | None | $12.59 | $12.59 | $20.89 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $43.65 | Professional | None | $8.91 | $12.59 | $43.65 |
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 $10.47 Typical High $11.22 | Professional | 52 · Reduced service | $9.12 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.17 Typical High $4.47 | Professional | 53 · Discontinued | $3.63 | $4.17 | $4.47 |
Where Kansas sits
The same service costs 3.4 times more in Kansas 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· 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.