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 $32.36 Median $60.26 Typical High $85.11 | Facility | None | $32.36 | $60.26 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | None | $30.20 | $35.48 | $37.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.90 Median $40.74 Typical High $60.26 | Facility | None | $38.90 | $40.74 | $60.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $38.90 Typical High $194.98 | Facility | None | $31.62 | $38.90 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $69.18 Typical High $81.28 | Professional | None | $18.20 | $69.18 | $81.28 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $46.77 Typical High $54.95 | Facility | None | $30.20 | $46.77 | $54.95 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $173.78 | Professional | None | $20.89 | $28.84 | $173.78 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $35.48 | Facility | None | $20.89 | $20.89 | $35.48 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $72.44 | Professional | None | $14.79 | $20.89 | $72.44 |
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 $15.14 Median $17.38 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $7.08 | $7.41 |
Where Kansas sits
The same service costs 3.5 times more in Vermont than in New Jersey. 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· 19th of 51
$40.74
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.