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 $26.30 Median $47.86 Typical High $72.44 | Facility | None | $26.30 | $47.86 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $27.54 | Professional | None | $19.50 | $26.30 | $27.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $58.88 Median $63.10 Typical High $93.33 | Facility | None | $58.88 | $63.10 | $93.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $33.88 Typical High $58.88 | Facility | None | $18.20 | $33.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $67.61 Typical High $70.79 | Professional | None | $15.85 | $67.61 | $70.79 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $38.02 Typical High $70.79 | Facility | None | $23.44 | $38.02 | $70.79 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $48.98 | Professional | None | $10.96 | $15.49 | $48.98 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $26.30 | Facility | None | $15.49 | $15.49 | $26.30 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $53.70 | Professional | None | $10.96 | $15.49 | $53.70 |
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 $11.22 Median $13.18 Typical High $13.80 | Professional | 52 · Reduced service | $11.22 | $13.18 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.25 Typical High $5.50 | Professional | 53 · Discontinued | $4.47 | $5.25 | $5.50 |
Where Kansas sits
The same service costs 6.0 times more in Alaska 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· 2nd of 51
$58.88
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.