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 $20.42 Median $64.57 Typical High $75.86 | Facility | None | $20.42 | $64.57 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $21.88 | Professional | None | $17.38 | $20.42 | $21.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $63.10 Median $66.07 Typical High $100.00 | Facility | None | $63.10 | $66.07 | $100.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $26.30 Typical High $46.77 | Facility | None | $14.13 | $26.30 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $53.70 Typical High $67.61 | Professional | None | $12.59 | $53.70 | $67.61 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $33.88 Typical High $107.15 | Facility | None | $18.20 | $33.88 | $107.15 |
Medica Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $38.02 | Professional | None | $8.51 | $12.30 | $38.02 |
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 $8.51 Median $12.30 Typical High $42.66 | Professional | None | $8.51 | $12.30 | $42.66 |
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 $3.55 Median $4.07 Typical High $4.37 | Professional | 53 · Discontinued | $3.55 | $4.07 | $4.37 |
Where Kansas sits
The same service costs 4.7 times more in Kansas than in West Virginia. 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
$63.10
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.