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 $33.11 Median $61.66 Typical High $79.43 | Facility | None | $33.11 | $61.66 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $35.48 | Professional | None | $28.84 | $33.11 | $35.48 |
BCBS Kansas Setting Facility Modifier None Typical Low $131.83 Median $141.25 Typical High $208.93 | Facility | None | $131.83 | $141.25 | $208.93 |
BCBS Kansas Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $40.74 Typical High $141.25 | Facility | None | $30.20 | $40.74 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $64.57 Typical High $151.36 | Professional | None | $15.85 | $64.57 | $151.36 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $41.69 Typical High $67.61 | Facility | None | $29.51 | $41.69 | $67.61 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $398.11 | Professional | None | $33.11 | $40.74 | $398.11 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $33.11 | Facility | None | $19.95 | $19.95 | $33.11 |
United Setting Professional Modifier None Typical Low $19.95 Median $33.11 Typical High $48.98 | Professional | None | $19.95 | $33.11 | $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 $14.45 Median $16.60 Typical High $17.78 | Professional | 52 · Reduced service | $14.45 | $16.60 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.76 Typical High $7.08 | Professional | 53 · Discontinued | $5.75 | $6.76 | $7.08 |
Where Kansas sits
The same service costs 5.6 times more in Kansas 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· 1st of 51
$132
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.