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 $7.76 Median $25.12 Typical High $25.70 | Facility | None | $7.76 | $25.12 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.94 Typical High $8.51 | Professional | None | $6.03 | $7.94 | $8.51 |
BCBS Kansas Setting Facility Modifier None Typical Low $31.62 Median $33.11 Typical High $50.12 | Facility | None | $31.62 | $33.11 | $50.12 |
BCBS Kansas Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $10.23 Typical High $18.62 | Facility | None | $5.62 | $10.23 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $20.42 Typical High $37.15 | Professional | None | $4.90 | $20.42 | $37.15 |
Medica Setting Facility Modifier None Typical Low $7.24 Median $13.18 Typical High $21.88 | Facility | None | $7.24 | $13.18 | $21.88 |
Medica Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $14.79 | Professional | None | $3.39 | $4.79 | $14.79 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $7.94 | Facility | None | $4.79 | $4.79 | $7.94 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $16.60 | Professional | None | $3.39 | $4.79 | $16.60 |
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 $3.47 Median $3.98 Typical High $4.27 | Professional | 52 · Reduced service | $3.47 | $3.98 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.58 Typical High $1.70 | Professional | 53 · Discontinued | $1.38 | $1.58 | $1.70 |
Where Kansas sits
The same service costs 4.5 times more in Kansas than in New Jersey. 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
$25.12
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.