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 $14.45 Median $14.45 Typical High $34.67 | Facility | None | $14.45 | $14.45 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $21.38 | Professional | None | $17.38 | $20.42 | $21.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $11.22 Median $12.02 Typical High $17.78 | Facility | None | $11.22 | $12.02 | $17.78 |
BCBS Kansas Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $20.89 Typical High $41.69 | Facility | None | $7.41 | $20.89 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $29.51 Typical High $30.20 | Professional | None | $3.09 | $29.51 | $30.20 |
Medica Setting Facility Modifier None Typical Low $7.41 Median $12.30 Typical High $35.48 | Facility | None | $7.41 | $12.30 | $35.48 |
Medica Setting Professional Modifier None Typical Low $3.80 Median $12.30 Typical High $17.78 | Professional | None | $3.80 | $12.30 | $17.78 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $20.42 | Facility | None | $12.30 | $12.30 | $20.42 |
United Setting Professional Modifier None Typical Low $3.80 Median $12.30 Typical High $23.99 | Professional | None | $3.80 | $12.30 | $23.99 |
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 $8.71 Median $10.23 Typical High $10.72 | Professional | 52 · Reduced service | $8.71 | $10.23 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.07 Typical High $4.37 | Professional | 53 · Discontinued | $3.47 | $4.07 | $4.37 |
Where Kansas sits
The same service costs 7.6 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· 28th of 51
$14.13
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.