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 $13.49 Median $25.12 Typical High $38.02 | Facility | None | $13.49 | $25.12 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $13.49 Typical High $14.45 | Professional | None | $11.75 | $13.49 | $14.45 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.90 Median $40.74 Typical High $60.26 | Facility | None | $38.90 | $40.74 | $60.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $15.49 Typical High $30.90 | Facility | None | $8.91 | $15.49 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $31.62 Typical High $40.74 | Professional | None | $7.24 | $31.62 | $40.74 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $19.95 Typical High $32.36 | Facility | None | $12.30 | $19.95 | $32.36 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $24.55 | Professional | None | $5.75 | $8.13 | $24.55 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $13.49 | Facility | None | $8.13 | $8.13 | $13.49 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $28.18 | Professional | None | $5.75 | $8.13 | $28.18 |
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 $5.89 Median $6.76 Typical High $7.24 | Professional | 52 · Reduced service | $5.89 | $6.76 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.69 Typical High $2.88 | Professional | 53 · Discontinued | $2.34 | $2.69 | $2.88 |
Where Kansas sits
The same service costs 4.6 times more in Vermont 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· 2nd of 51
$38.02
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.