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 $14.13 Median $25.70 Typical High $38.02 | Facility | None | $14.13 | $25.70 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $14.79 | Professional | None | $12.02 | $14.13 | $14.79 |
BCBS Kansas Setting Facility Modifier None Typical Low $19.50 Median $20.42 Typical High $30.20 | Facility | None | $19.50 | $20.42 | $30.20 |
BCBS Kansas Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $18.20 Typical High $31.62 | Facility | None | $9.77 | $18.20 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $30.20 Typical High $30.20 | Professional | None | $8.71 | $30.20 | $30.20 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $38.02 | Facility | None | $12.59 | $19.95 | $38.02 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $8.32 Typical High $26.30 | Professional | None | $5.89 | $8.32 | $26.30 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $14.13 | Facility | None | $8.32 | $8.32 | $14.13 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.32 Typical High $28.84 | Professional | None | $5.89 | $8.32 | $28.84 |
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 $6.03 Median $7.08 Typical High $7.41 | Professional | 52 · Reduced service | $6.03 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.82 Typical High $2.95 | Professional | 53 · Discontinued | $2.40 | $2.82 | $2.95 |
Where Kansas sits
The same service costs 3.2 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· 9th of 51
$19.50
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.