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 $22.91 Median $42.66 Typical High $70.79 | Facility | None | $22.91 | $42.66 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $22.91 Typical High $24.55 | Professional | None | $19.95 | $22.91 | $24.55 |
BCBS Kansas Setting Facility Modifier None Typical Low $51.29 Median $54.95 Typical High $81.28 | Facility | None | $51.29 | $54.95 | $81.28 |
BCBS Kansas Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $28.84 Typical High $52.48 | Facility | None | $15.85 | $28.84 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $77.62 Typical High $77.62 | Professional | None | $20.89 | $77.62 | $77.62 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $37.15 Typical High $61.66 | Facility | None | $21.38 | $37.15 | $61.66 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $43.65 | Professional | None | $9.77 | $13.80 | $43.65 |
United Setting Facility Modifier None Typical Low $13.80 Median $22.91 Typical High $75.86 | Facility | None | $13.80 | $22.91 | $75.86 |
United Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $47.86 | Professional | None | $9.77 | $13.80 | $47.86 |
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 $10.00 Median $11.48 Typical High $12.30 | Professional | 52 · Reduced service | $10.00 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.68 Typical High $4.90 | Professional | 53 · Discontinued | $3.98 | $4.68 | $4.90 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Alabama. 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
$51.29
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.