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 $37.15 Median $74.13 Typical High $85.11 | Facility | None | $37.15 | $74.13 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $42.66 | Professional | None | $34.67 | $40.74 | $42.66 |
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 $36.31 Median $44.67 Typical High $194.98 | Facility | None | $36.31 | $44.67 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $69.18 Typical High $81.28 | Professional | None | $19.50 | $69.18 | $81.28 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $54.95 | Facility | None | $35.48 | $54.95 | $54.95 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $204.17 | Professional | None | $24.55 | $28.84 | $204.17 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $40.74 | Facility | None | $24.55 | $24.55 | $40.74 |
United Setting Professional Modifier None Typical Low $16.98 Median $24.55 Typical High $81.28 | Professional | None | $16.98 | $24.55 | $81.28 |
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 $17.38 Median $20.42 Typical High $21.38 | Professional | 52 · Reduced service | $17.38 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.13 Typical High $8.51 | Professional | 53 · Discontinued | $6.92 | $8.13 | $8.51 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 22nd of 51
$42.66
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.