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 $8.13 Median $17.78 Typical High $26.92 | Facility | None | $8.13 | $17.78 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $9.77 Typical High $10.23 | Professional | None | $8.32 | $9.77 | $10.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $24.55 Median $25.70 Typical High $38.90 | Facility | None | $24.55 | $25.70 | $38.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $10.96 Typical High $22.39 | Facility | None | $6.46 | $10.96 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $22.39 Typical High $25.70 | Professional | None | $5.37 | $22.39 | $25.70 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $14.13 Typical High $23.44 | Facility | None | $8.71 | $14.13 | $23.44 |
Medica Setting Professional Modifier None Typical Low $4.07 Median $5.89 Typical High $17.78 | Professional | None | $4.07 | $5.89 | $17.78 |
United Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $9.77 | Facility | None | $5.89 | $5.89 | $9.77 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.89 Typical High $20.42 | Professional | None | $4.07 | $5.89 | $20.42 |
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 $4.17 Median $4.90 Typical High $5.13 | Professional | 52 · Reduced service | $4.17 | $4.90 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.95 Typical High $2.04 | Professional | 53 · Discontinued | $1.70 | $1.95 | $2.04 |
Where Kansas sits
The same service costs 3.6 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
$24.55
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.