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 $4.68 Median $14.79 Typical High $22.91 | Facility | None | $4.68 | $14.79 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.68 Typical High $5.01 | Professional | None | $3.55 | $4.68 | $5.01 |
BCBS Kansas Setting Facility Modifier None Typical Low $12.02 Median $12.59 Typical High $19.05 | Facility | None | $12.02 | $12.59 | $19.05 |
BCBS Kansas Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $6.03 Typical High $10.72 | Facility | None | $3.31 | $6.03 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $12.30 Typical High $15.14 | Professional | None | $2.88 | $12.30 | $15.14 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $7.76 Typical High $32.36 | Facility | None | $4.27 | $7.76 | $32.36 |
Medica Setting Professional Modifier None Typical Low $2.00 Median $2.82 Typical High $8.91 | Professional | None | $2.00 | $2.82 | $8.91 |
United Setting Facility Modifier None Typical Low $2.82 Median $4.68 Typical High $10.47 | Facility | None | $2.82 | $4.68 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.82 Typical High $9.77 | Professional | None | $2.00 | $2.82 | $9.77 |
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 $2.04 Median $2.34 Typical High $2.51 | Professional | 52 · Reduced service | $2.04 | $2.34 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.93 Typical High $1.00 | Professional | 53 · Discontinued | $0.81 | $0.93 | $1.00 |
Where Kansas sits
The same service costs 4.0 times more in Alaska than in Maryland. 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· 2nd of 51
$12.02
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.