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 $25.12 Median $30.90 Typical High $42.66 | Facility | None | $25.12 | $30.90 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $26.30 | Professional | None | $23.99 | $25.12 | $26.30 |
BCBS Kansas Setting Facility Modifier None Typical Low $20.89 Median $21.88 Typical High $33.11 | Facility | None | $20.89 | $21.88 | $33.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $25.70 Typical High $54.95 | Facility | None | $13.80 | $25.70 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $32.36 | Professional | None | $14.79 | $14.79 | $32.36 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $19.95 Typical High $43.65 | Facility | None | $14.45 | $19.95 | $43.65 |
Medica Setting Professional Modifier None Typical Low $13.80 Median $23.99 Typical High $30.90 | Professional | None | $13.80 | $23.99 | $30.90 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $25.12 | Facility | None | $15.14 | $15.14 | $25.12 |
United Setting Professional Modifier None Typical Low $13.80 Median $25.12 Typical High $37.15 | Professional | None | $13.80 | $25.12 | $37.15 |
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 $10.72 Median $12.59 Typical High $13.18 | Professional | 52 · Reduced service | $10.72 | $12.59 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.01 Typical High $5.25 | Professional | 53 · Discontinued | $4.27 | $5.01 | $5.25 |
Where Kansas sits
The same service costs 2.7 times more in Montana 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· 16th of 51
$25.12
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.