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 $16.22 Median $38.02 Typical High $38.02 | Facility | None | $16.22 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $16.98 | Professional | None | $10.96 | $16.22 | $16.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $34.67 Median $37.15 Typical High $54.95 | Facility | None | $34.67 | $37.15 | $54.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $17.78 Typical High $36.31 | Facility | None | $10.47 | $17.78 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $31.62 Typical High $40.74 | Professional | None | $7.59 | $31.62 | $40.74 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $19.95 Typical High $36.31 | Facility | None | $11.75 | $19.95 | $36.31 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $25.70 | Professional | None | $6.76 | $9.55 | $25.70 |
United Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $16.22 | Facility | None | $9.55 | $9.55 | $16.22 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $29.51 | Professional | None | $6.76 | $9.55 | $29.51 |
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 $6.92 Median $7.94 Typical High $8.51 | Professional | 52 · Reduced service | $6.92 | $7.94 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.24 Typical High $3.39 | Professional | 53 · Discontinued | $2.75 | $3.24 | $3.39 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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
$34.67
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.