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 $12.30 Median $22.91 Typical High $35.48 | Facility | None | $12.30 | $22.91 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $12.88 | Professional | None | $10.23 | $12.30 | $12.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $29.51 Median $30.90 Typical High $46.77 | Facility | None | $29.51 | $30.90 | $46.77 |
BCBS Kansas Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $14.45 Typical High $28.18 | Facility | None | $8.13 | $14.45 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $28.84 Typical High $32.36 | Professional | None | $6.92 | $28.84 | $32.36 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $18.20 Typical High $30.20 | Facility | None | $10.72 | $18.20 | $30.20 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $22.91 | Professional | None | $5.13 | $7.41 | $22.91 |
United Setting Facility Modifier None Typical Low $7.41 Median $12.30 Typical High $39.81 | Facility | None | $7.41 | $12.30 | $39.81 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $25.70 | Professional | None | $5.13 | $7.41 | $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 $2.09 Median $2.45 Typical High $2.63 | Professional | 53 · Discontinued | $2.09 | $2.45 | $2.63 |
Where Kansas sits
The same service costs 3.5 times more in Kansas than in Nebraska. 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.