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 $63.10 | Facility | None | $26.30 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $28.18 | Professional | None | $22.91 | $26.92 | $28.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $37.15 Median $38.90 Typical High $57.54 | Facility | None | $37.15 | $38.90 | $57.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $32.36 Typical High $112.20 | Facility | None | $24.55 | $32.36 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $47.86 Typical High $50.12 | Professional | None | $12.59 | $47.86 | $50.12 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $33.11 Typical High $46.77 | Facility | None | $23.44 | $33.11 | $46.77 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $16.22 Typical High $263.03 | Professional | None | $9.77 | $16.22 | $263.03 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $26.92 | Facility | None | $16.22 | $16.22 | $26.92 |
United Setting Professional Modifier None Typical Low $9.77 Median $16.22 Typical High $48.98 | Professional | None | $9.77 | $16.22 | $48.98 |
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 $11.48 Median $13.49 Typical High $14.13 | Professional | 52 · Reduced service | $11.48 | $13.49 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.37 Typical High $5.75 | Professional | 53 · Discontinued | $4.57 | $5.37 | $5.75 |
Where Kansas sits
The same service costs 5.1 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· 4th of 51
$37.15
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.