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 $8.32 Median $26.92 Typical High $46.77 | Facility | None | $8.32 | $26.92 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $8.71 Typical High $9.12 | Professional | None | $6.46 | $8.71 | $9.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $28.18 Median $30.20 Typical High $44.67 | Facility | None | $28.18 | $30.20 | $44.67 |
BCBS Kansas Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $10.96 Typical High $19.50 | Facility | None | $6.03 | $10.96 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $22.39 Typical High $36.31 | Professional | None | $5.37 | $22.39 | $36.31 |
Medica Setting Facility Modifier None Typical Low $7.41 Median $14.13 Typical High $66.07 | Facility | None | $7.41 | $14.13 | $66.07 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $16.22 | Professional | None | $5.13 | $8.71 | $16.22 |
United Setting Facility Modifier None Typical Low $5.13 Median $8.71 Typical High $30.20 | Facility | None | $5.13 | $8.71 | $30.20 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $17.78 | Professional | None | $5.13 | $8.71 | $17.78 |
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 $3.72 Median $4.27 Typical High $4.57 | Professional | 52 · Reduced service | $3.72 | $4.27 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.74 Typical High $1.82 | Professional | 53 · Discontinued | $1.48 | $1.74 | $1.82 |
Where Kansas sits
The same service costs 4.1 times more in Kansas 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· 1st of 51
$28.18
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.