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 $16.22 Median $30.20 Typical High $31.62 | Facility | None | $16.22 | $30.20 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $16.98 | Professional | None | $12.02 | $16.22 | $16.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $22.39 Median $23.44 Typical High $35.48 | Facility | None | $22.39 | $23.44 | $35.48 |
BCBS Kansas Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $37.15 | Facility | None | $10.72 | $17.78 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $32.36 Typical High $32.36 | Professional | None | $8.13 | $32.36 | $32.36 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $16.60 Typical High $35.48 | Facility | None | $11.75 | $16.60 | $35.48 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $25.70 | Professional | None | $6.76 | $9.77 | $25.70 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $16.22 | Facility | None | $9.77 | $9.77 | $16.22 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $26.92 | Professional | None | $6.76 | $9.77 | $26.92 |
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 $6.92 Median $8.13 Typical High $8.51 | Professional | 52 · Reduced service | $6.92 | $8.13 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.24 Typical High $3.47 | Professional | 53 · Discontinued | $2.82 | $3.24 | $3.47 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in New York. 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· 8th of 51
$22.39
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.