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 $42.66 Median $134.90 Typical High $134.90 | Facility | None | $42.66 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $45.71 | Professional | None | $37.15 | $42.66 | $45.71 |
BCBS Kansas Setting Facility Modifier None Typical Low $57.54 Median $61.66 Typical High $91.20 | Facility | None | $57.54 | $61.66 | $91.20 |
BCBS Kansas Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $69.18 Typical High $239.88 | Facility | None | $38.90 | $69.18 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $102.33 Typical High $102.33 | Professional | None | $22.39 | $102.33 | $102.33 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $70.79 Typical High $74.13 | Facility | None | $42.66 | $70.79 | $74.13 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $36.31 Typical High $354.81 | Professional | None | $25.70 | $36.31 | $354.81 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $42.66 | Facility | None | $25.70 | $25.70 | $42.66 |
United Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $89.13 | Professional | None | $17.78 | $25.70 | $89.13 |
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 $18.62 Median $21.38 Typical High $22.91 | Professional | 52 · Reduced service | $18.62 | $21.38 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.51 Typical High $9.12 | Professional | 53 · Discontinued | $7.41 | $8.51 | $9.12 |
Where Kansas sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 13th of 51
$57.54
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.