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 $10.47 Median $19.95 Typical High $36.31 | Facility | None | $10.47 | $19.95 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $20.89 | Professional | None | $17.78 | $19.95 | $20.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $12.30 Median $12.88 Typical High $19.05 | Facility | None | $12.30 | $12.88 | $19.05 |
BCBS Kansas Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $21.38 Typical High $125.89 | Facility | None | $2.04 | $21.38 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $41.69 Typical High $41.69 | Professional | None | $9.77 | $41.69 | $41.69 |
Medica Setting Facility Modifier None Typical Low $3.31 Median $28.18 Typical High $134.90 | Facility | None | $3.31 | $28.18 | $134.90 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $19.05 Typical High $30.20 | Professional | None | $10.23 | $19.05 | $30.20 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $316.23 | Facility | None | $199.53 | $199.53 | $316.23 |
United Setting Professional Modifier None Typical Low $10.23 Median $19.05 Typical High $34.67 | Professional | None | $10.23 | $19.05 | $34.67 |
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 $8.91 Median $10.00 Typical High $10.47 | Professional | 52 · Reduced service | $8.91 | $10.00 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.98 Typical High $4.27 | Professional | 53 · Discontinued | $3.63 | $3.98 | $4.27 |
Where Kansas sits
The same service costs 11.2 times more in Texas 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· 41st of 51
$18.20
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.