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 $10.00 Median $11.48 Typical High $28.18 | Facility | None | $10.00 | $11.48 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $16.22 Typical High $17.38 | Professional | None | $14.13 | $16.22 | $17.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $3.80 Median $3.98 Typical High $6.03 | Facility | None | $3.80 | $3.98 | $6.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $16.98 Typical High $33.11 | Facility | None | $5.89 | $16.98 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $23.44 Typical High $23.99 | Professional | None | $2.40 | $23.44 | $23.99 |
Medica Setting Facility Modifier None Typical Low $5.75 Median $9.77 Typical High $28.18 | Facility | None | $5.75 | $9.77 | $28.18 |
Medica Setting Professional Modifier None Typical Low $3.02 Median $9.77 Typical High $14.13 | Professional | None | $3.02 | $9.77 | $14.13 |
United Setting Facility Modifier None Typical Low $9.77 Median $15.14 Typical High $16.22 | Facility | None | $9.77 | $15.14 | $16.22 |
United Setting Professional Modifier None Typical Low $3.02 Median $9.77 Typical High $19.05 | Professional | None | $3.02 | $9.77 | $19.05 |
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 $7.08 Median $8.13 Typical High $8.71 | Professional | 52 · Reduced service | $7.08 | $8.13 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.24 Typical High $3.47 | Professional | 53 · Discontinued | $2.82 | $3.24 | $3.47 |
Where Kansas sits
The same service costs 8.9 times more in Alaska than in Kentucky. 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· 49th of 51
$6.03
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.