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 $6.46 Median $20.42 Typical High $45.71 | Facility | None | $6.46 | $20.42 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $6.46 Typical High $6.92 | Professional | None | $4.90 | $6.46 | $6.92 |
BCBS Kansas Setting Facility Modifier None Typical Low $12.88 Median $13.49 Typical High $19.95 | Facility | None | $12.88 | $13.49 | $19.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $8.32 Typical High $14.79 | Facility | None | $4.57 | $8.32 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $16.98 Typical High $16.98 | Professional | None | $3.98 | $16.98 | $16.98 |
Medica Setting Facility Modifier None Typical Low $5.89 Median $10.47 Typical High $64.57 | Facility | None | $5.89 | $10.47 | $64.57 |
Medica Setting Professional Modifier None Typical Low $2.75 Median $3.89 Typical High $12.30 | Professional | None | $2.75 | $3.89 | $12.30 |
United Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $6.46 | Facility | None | $3.89 | $3.89 | $6.46 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.89 Typical High $13.49 | Professional | None | $2.75 | $3.89 | $13.49 |
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 $2.82 Median $3.24 Typical High $3.47 | Professional | 52 · Reduced service | $2.82 | $3.24 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.32 Typical High $1.38 | Professional | 53 · Discontinued | $1.12 | $1.32 | $1.38 |
Where Kansas sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 2nd of 51
$12.88
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.