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 $4.68 Median $10.23 Typical High $16.22 | Facility | None | $4.68 | $10.23 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.62 Typical High $5.89 | Professional | None | $4.79 | $5.62 | $5.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $12.59 Median $13.49 Typical High $19.95 | Facility | None | $12.59 | $13.49 | $19.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $6.61 Typical High $13.18 | Facility | None | $3.72 | $6.61 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $13.49 Typical High $14.13 | Professional | None | $3.16 | $13.49 | $14.13 |
Medica Setting Facility Modifier None Typical Low $5.01 Median $8.51 Typical High $13.18 | Facility | None | $5.01 | $8.51 | $13.18 |
Medica Setting Professional Modifier None Typical Low $2.34 Median $3.39 Typical High $10.47 | Professional | None | $2.34 | $3.39 | $10.47 |
United Setting Facility Modifier None Typical Low $3.39 Median $5.62 Typical High $10.47 | Facility | None | $3.39 | $5.62 | $10.47 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.39 Typical High $11.75 | Professional | None | $2.34 | $3.39 | $11.75 |
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 $2.40 Median $2.82 Typical High $2.95 | Professional | 52 · Reduced service | $2.40 | $2.82 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $1.12 Typical High $1.20 | Professional | 53 · Discontinued | $0.95 | $1.12 | $1.20 |
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· 2nd of 51
$12.59
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.