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 $36.31 Median $109.65 Typical High $177.83 | Facility | None | $36.31 | $109.65 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $36.31 Typical High $38.90 | Professional | None | $31.62 | $36.31 | $38.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $251.19 | Facility | None | $158.49 | $165.96 | $251.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $46.77 Typical High $100.00 | Facility | None | $29.51 | $46.77 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $147.91 Typical High $169.82 | Professional | None | $34.67 | $147.91 | $169.82 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $93.33 Typical High $154.88 | Facility | None | $33.11 | $93.33 | $154.88 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $21.88 Typical High $74.13 | Professional | None | $15.49 | $21.88 | $74.13 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $36.31 | Facility | None | $21.88 | $21.88 | $36.31 |
United Setting Professional Modifier None Typical Low $15.49 Median $21.88 Typical High $75.86 | Professional | None | $15.49 | $21.88 | $75.86 |
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 $15.85 Median $18.20 Typical High $19.50 | Professional | 52 · Reduced service | $15.85 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.24 Typical High $7.76 | Professional | 53 · Discontinued | $6.31 | $7.24 | $7.76 |
Where Kansas sits
The same service costs 10.2 times more in Kansas than in Alabama. 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· 1st of 51
$158
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.