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 $25.70 Median $45.71 Typical High $69.18 | Facility | None | $25.70 | $45.71 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $38.02 Typical High $39.81 | Professional | None | $19.50 | $38.02 | $39.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $14.45 Median $15.14 Typical High $22.39 | Facility | None | $14.45 | $15.14 | $22.39 |
BCBS Kansas Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $38.90 Typical High $83.18 | Facility | None | $7.94 | $38.90 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $54.95 | Professional | None | $43.65 | $54.95 | $54.95 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $38.02 Typical High $177.83 | Facility | None | $10.47 | $38.02 | $177.83 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $7.24 Typical High $24.55 | Professional | None | $6.17 | $7.24 | $24.55 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $38.02 | Facility | None | $22.39 | $22.39 | $38.02 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $25.12 | Professional | None | $7.24 | $7.24 | $25.12 |
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 $16.22 Median $19.05 Typical High $19.95 | Professional | 52 · Reduced service | $16.22 | $19.05 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $6.46 | $7.59 | $7.94 |
Where Kansas sits
The same service costs 10.0 times more in Alaska 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· 33rd of 51
$17.78
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.