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 $63.10 Typical High $104.71 | Facility | None | $26.30 | $63.10 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $61.66 | Professional | None | $50.12 | $57.54 | $61.66 |
BCBS Kansas Setting Facility Modifier None Typical Low $16.22 Median $17.38 Typical High $25.70 | Facility | None | $16.22 | $17.38 | $25.70 |
BCBS Kansas Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $60.26 Typical High $128.82 | Facility | None | $32.36 | $60.26 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $51.29 Typical High $83.18 | Professional | None | $13.18 | $51.29 | $83.18 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $61.66 | Facility | None | $33.11 | $33.11 | $61.66 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $34.67 Typical High $288.40 | Professional | None | $9.77 | $34.67 | $288.40 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $57.54 | Facility | None | $34.67 | $34.67 | $57.54 |
United Setting Professional Modifier None Typical Low $9.77 Median $34.67 Typical High $95.50 | Professional | None | $9.77 | $34.67 | $95.50 |
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 $25.12 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $25.12 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.48 Typical High $12.30 | Professional | 53 · Discontinued | $10.00 | $11.48 | $12.30 |
Where Kansas sits
The same service costs 5.1 times more in Alaska than in Kansas. 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· 51st of 51
$25.70
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.