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 $12.02 Median $38.02 Typical High $72.44 | Facility | None | $12.02 | $38.02 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $12.30 Typical High $13.18 | Professional | None | $9.33 | $12.30 | $13.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $29.51 Median $31.62 Typical High $46.77 | Facility | None | $29.51 | $31.62 | $46.77 |
BCBS Kansas Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $15.49 Typical High $28.18 | Facility | None | $8.51 | $15.49 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $31.62 Typical High $37.15 | Professional | None | $7.41 | $31.62 | $37.15 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $19.95 Typical High $32.36 | Facility | None | $10.96 | $19.95 | $32.36 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $22.91 | Professional | None | $7.41 | $12.30 | $22.91 |
United Setting Facility Modifier None Typical Low $7.41 Median $12.30 Typical High $60.26 | Facility | None | $7.41 | $12.30 | $60.26 |
United Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $25.70 | Professional | None | $7.41 | $12.30 | $25.70 |
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 $5.25 Median $6.17 Typical High $6.46 | Professional | 52 · Reduced service | $5.25 | $6.17 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.45 Typical High $2.63 | Professional | 53 · Discontinued | $2.14 | $2.45 | $2.63 |
Where Kansas sits
The same service costs 3.5 times more in Kansas than in Georgia. 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
$29.51
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.