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 $7.76 Median $14.45 Typical High $24.55 | Facility | None | $7.76 | $14.45 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.76 Typical High $8.13 | Professional | None | $6.61 | $7.76 | $8.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $29.51 Median $31.62 Typical High $46.77 | Facility | None | $29.51 | $31.62 | $46.77 |
BCBS Kansas Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $10.00 Typical High $17.78 | Facility | None | $5.37 | $10.00 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $19.95 Typical High $34.67 | Professional | None | $4.68 | $19.95 | $34.67 |
Medica Setting Facility Modifier None Typical Low $7.08 Median $12.88 Typical High $72.44 | Facility | None | $7.08 | $12.88 | $72.44 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $14.45 | Professional | None | $3.24 | $4.68 | $14.45 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $69.18 | Facility | None | $43.65 | $43.65 | $69.18 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $16.22 | Professional | None | $3.24 | $4.68 | $16.22 |
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 $3.31 Median $3.89 Typical High $4.07 | Professional | 52 · Reduced service | $3.31 | $3.89 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.55 Typical High $1.62 | Professional | 53 · Discontinued | $1.32 | $1.55 | $1.62 |
Where Kansas sits
The same service costs 5.2 times more in Kansas than in New Jersey. 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
$28.18
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.