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 $21.88 Median $40.74 Typical High $54.95 | Facility | None | $21.88 | $40.74 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $23.44 | Professional | None | $18.62 | $21.88 | $23.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.02 Median $39.81 Typical High $60.26 | Facility | None | $38.02 | $39.81 | $60.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $50.12 | Facility | None | $14.45 | $23.99 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $42.66 Typical High $42.66 | Professional | None | $10.72 | $42.66 | $42.66 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $28.84 Typical High $47.86 | Facility | None | $15.85 | $28.84 | $47.86 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $36.31 | Professional | None | $9.12 | $13.18 | $36.31 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $21.88 | Facility | None | $13.18 | $13.18 | $21.88 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $42.66 | Professional | None | $9.12 | $13.18 | $42.66 |
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 $9.33 Median $10.96 Typical High $11.48 | Professional | 52 · Reduced service | $9.33 | $10.96 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.37 Typical High $4.68 | Professional | 53 · Discontinued | $3.80 | $4.37 | $4.68 |
Where Kansas sits
The same service costs 4.7 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
$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.