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 $25.12 Median $35.48 Typical High $134.90 | Facility | None | $25.12 | $35.48 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $83.18 | Professional | None | $67.61 | $79.43 | $83.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $22.91 Median $23.99 Typical High $36.31 | Facility | None | $22.91 | $23.99 | $36.31 |
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 $51.29 Median $81.28 Typical High $177.83 | Facility | None | $51.29 | $81.28 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $112.20 Typical High $114.82 | Professional | None | $26.30 | $112.20 | $114.82 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $57.54 Typical High $138.04 | Facility | None | $18.62 | $57.54 | $138.04 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $95.50 | Professional | None | $33.11 | $46.77 | $95.50 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $79.43 | Facility | None | $46.77 | $46.77 | $79.43 |
United Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $95.50 | Professional | None | $33.11 | $46.77 | $95.50 |
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 $33.88 Median $38.90 Typical High $41.69 | Professional | 52 · Reduced service | $33.88 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $16.60 | Professional | 53 · Discontinued | $13.49 | $15.85 | $16.60 |
Where Kansas sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 51st of 51
$36.31
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.