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 $6.31 Median $26.92 Typical High $43.65 | Facility | None | $6.31 | $26.92 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $25.12 | Professional | None | $21.38 | $23.99 | $25.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $26.92 Median $28.18 Typical High $41.69 | Facility | None | $26.92 | $28.18 | $41.69 |
BCBS Kansas Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $2.19 Median $25.70 Typical High $151.36 | Facility | None | $2.19 | $25.70 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $28.18 Typical High $40.74 | Professional | None | $11.75 | $28.18 | $40.74 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $33.11 Typical High $169.82 | Facility | None | $16.98 | $33.11 | $169.82 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $22.39 Typical High $37.15 | Professional | None | $12.88 | $22.39 | $37.15 |
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 $12.88 Median $22.39 Typical High $41.69 | Professional | None | $12.88 | $22.39 | $41.69 |
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 $10.72 Median $11.75 Typical High $12.59 | Professional | 52 · Reduced service | $10.72 | $11.75 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.79 Typical High $5.01 | Professional | 53 · Discontinued | $4.27 | $4.79 | $5.01 |
Where Kansas sits
The same service costs 8.5 times more in Alaska than in Arizona. 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· 27th of 51
$26.92
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.