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 $23.99 Median $81.28 Typical High $125.89 | Facility | None | $23.99 | $81.28 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $46.77 | Professional | None | $37.15 | $43.65 | $46.77 |
BCBS Kansas Setting Facility Modifier None Typical Low $54.95 Median $57.54 Typical High $85.11 | Facility | None | $54.95 | $57.54 | $85.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $66.07 Typical High $223.87 | Facility | None | $39.81 | $66.07 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $97.72 Typical High $97.72 | Professional | None | $20.89 | $97.72 | $97.72 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $66.07 Typical High $75.86 | Facility | None | $43.65 | $66.07 | $75.86 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $331.13 | Professional | None | $19.50 | $26.30 | $331.13 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $43.65 | Facility | None | $26.30 | $26.30 | $43.65 |
United Setting Professional Modifier None Typical Low $18.20 Median $26.30 Typical High $91.20 | Professional | None | $18.20 | $26.30 | $91.20 |
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 $21.88 Typical High $22.91 | Professional | 52 · Reduced service | $18.62 | $21.88 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.71 Typical High $9.33 | Professional | 53 · Discontinued | $7.59 | $8.71 | $9.33 |
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· 13th of 51
$54.95
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.