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 $9.33 Median $17.38 Typical High $21.88 | Facility | None | $9.33 | $17.38 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $10.00 | Professional | None | $7.94 | $9.33 | $10.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $45.71 Median $47.86 Typical High $72.44 | Facility | None | $45.71 | $47.86 | $72.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $10.23 Typical High $21.38 | Facility | None | $6.17 | $10.23 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $17.78 Typical High $48.98 | Professional | None | $4.47 | $17.78 | $48.98 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $11.22 Typical High $23.99 | Facility | None | $6.76 | $11.22 | $23.99 |
Medica Setting Professional Modifier None Typical Low $3.89 Median $5.62 Typical High $14.79 | Professional | None | $3.89 | $5.62 | $14.79 |
United Setting Facility Modifier None Typical Low $5.62 Median $9.33 Typical High $36.31 | Facility | None | $5.62 | $9.33 | $36.31 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.62 Typical High $16.60 | Professional | None | $3.89 | $5.62 | $16.60 |
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 $3.98 Median $4.68 Typical High $5.01 | Professional | 52 · Reduced service | $3.98 | $4.68 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.86 Typical High $2.00 | Professional | 53 · Discontinued | $1.62 | $1.86 | $2.00 |
Where Kansas sits
The same service costs 5.9 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
$36.31
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.