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 $34.67 Median $102.33 Typical High $102.33 | Facility | None | $34.67 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $37.15 | Professional | None | $30.20 | $34.67 | $37.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $93.33 Median $97.72 Typical High $147.91 | Facility | None | $93.33 | $97.72 | $147.91 |
BCBS Kansas Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $177.83 | Facility | None | $31.62 | $52.48 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $83.18 Typical High $107.15 | Professional | None | $16.98 | $83.18 | $107.15 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $52.48 Typical High $60.26 | Facility | None | $34.67 | $52.48 | $60.26 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $389.05 | Professional | None | $33.88 | $46.77 | $389.05 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $34.67 | Facility | None | $20.89 | $20.89 | $34.67 |
United Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $58.88 | Professional | None | $20.89 | $34.67 | $58.88 |
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 $6.92 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $6.92 | $7.41 |
Where Kansas sits
The same service costs 4.6 times more in Kentucky 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· 3rd of 51
$93.33
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.