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 $10.00 Median $18.20 Typical High $29.51 | Facility | None | $10.00 | $18.20 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $10.47 | Professional | None | $8.51 | $10.00 | $10.47 |
BCBS Kansas Setting Facility Modifier None Typical Low $19.95 Median $20.89 Typical High $31.62 | Facility | None | $19.95 | $20.89 | $31.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $12.02 Typical High $22.39 | Facility | None | $6.61 | $12.02 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $22.91 Typical High $22.91 | Professional | None | $5.75 | $22.91 | $22.91 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $15.49 Typical High $25.70 | Facility | None | $8.91 | $15.49 | $25.70 |
Medica Setting Professional Modifier None Typical Low $4.17 Median $5.89 Typical High $18.62 | Professional | None | $4.17 | $5.89 | $18.62 |
United Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $10.00 | Facility | None | $5.89 | $5.89 | $10.00 |
United Setting Professional Modifier None Typical Low $4.17 Median $5.89 Typical High $20.42 | Professional | None | $4.17 | $5.89 | $20.42 |
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 $4.27 Median $4.90 Typical High $5.25 | Professional | 52 · Reduced service | $4.27 | $4.90 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.00 Typical High $2.09 | Professional | 53 · Discontinued | $1.70 | $2.00 | $2.09 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in Georgia. 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· 2nd of 51
$19.95
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.