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 $6.92 Median $19.95 Typical High $21.38 | Facility | None | $6.92 | $19.95 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.92 Typical High $7.24 | Professional | None | $5.89 | $6.92 | $7.24 |
BCBS Kansas Setting Facility Modifier None Typical Low $21.38 Median $22.39 Typical High $33.88 | Facility | None | $21.38 | $22.39 | $33.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $8.71 Typical High $15.49 | Facility | None | $4.79 | $8.71 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $17.78 Typical High $22.91 | Professional | None | $4.27 | $17.78 | $22.91 |
Medica Setting Facility Modifier None Typical Low $6.17 Median $11.22 Typical High $28.18 | Facility | None | $6.17 | $11.22 | $28.18 |
Medica Setting Professional Modifier None Typical Low $2.88 Median $4.07 Typical High $12.88 | Professional | None | $2.88 | $4.07 | $12.88 |
United Setting Facility Modifier None Typical Low $4.07 Median $6.92 Typical High $23.99 | Facility | None | $4.07 | $6.92 | $23.99 |
United Setting Professional Modifier None Typical Low $2.88 Median $4.07 Typical High $14.13 | Professional | None | $2.88 | $4.07 | $14.13 |
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 $2.95 Median $3.47 Typical High $3.63 | Professional | 52 · Reduced service | $2.95 | $3.47 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.38 Typical High $1.45 | Professional | 53 · Discontinued | $1.17 | $1.38 | $1.45 |
Where Kansas sits
The same service costs 4.2 times more in Kansas 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· 1st of 51
$21.38
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.