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 $14.45 Typical High $21.88 | Facility | None | $8.13 | $14.45 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $8.13 Typical High $8.51 | Professional | None | $6.03 | $8.13 | $8.51 |
BCBS Kansas Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $186.21 | Facility | None | $117.49 | $123.03 | $186.21 |
BCBS Kansas Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $8.91 Typical High $18.62 | Facility | None | $5.37 | $8.91 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $18.62 Typical High $144.54 | Professional | None | $4.27 | $18.62 | $144.54 |
Medica Setting Facility Modifier None Typical Low $6.31 Median $11.48 Typical High $19.05 | Facility | None | $6.31 | $11.48 | $19.05 |
Medica Setting Professional Modifier None Typical Low $3.39 Median $4.90 Typical High $14.45 | Professional | None | $3.39 | $4.90 | $14.45 |
United Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $8.13 | Facility | None | $4.90 | $4.90 | $8.13 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.90 Typical High $16.98 | Professional | None | $3.39 | $4.90 | $16.98 |
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 $3.47 Median $4.07 Typical High $4.27 | Professional | 52 · Reduced service | $3.47 | $4.07 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.62 Typical High $1.74 | Professional | 53 · Discontinued | $1.38 | $1.62 | $1.74 |
Where Kansas sits
The same service costs 8.3 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
$46.77
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.