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 $13.18 Median $24.55 Typical High $41.69 | Facility | None | $13.18 | $24.55 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $14.13 | Professional | None | $11.22 | $13.18 | $14.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $21.38 Median $22.39 Typical High $33.88 | Facility | None | $21.38 | $22.39 | $33.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $16.98 Typical High $30.20 | Facility | None | $9.12 | $16.98 | $30.20 |
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 $21.88 Typical High $35.48 | Facility | None | $11.75 | $21.88 | $35.48 |
Medica Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $24.55 | Professional | None | $5.50 | $7.94 | $24.55 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $13.18 | Facility | None | $7.94 | $7.94 | $13.18 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $27.54 | Professional | None | $5.50 | $7.94 | $27.54 |
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 $5.62 Median $6.61 Typical High $6.92 | Professional | 52 · Reduced service | $5.62 | $6.61 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.63 Typical High $2.82 | Professional | 53 · Discontinued | $2.29 | $2.63 | $2.82 |
Where Kansas sits
The same service costs 3.3 times more in South Carolina than in Maryland. 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· 6th of 51
$21.38
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.