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 $4.07 Median $8.32 Typical High $14.45 | Facility | None | $4.07 | $8.32 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $4.57 Typical High $4.79 | Professional | None | $3.89 | $4.57 | $4.79 |
BCBS Kansas Setting Facility Modifier None Typical Low $10.00 Median $10.47 Typical High $15.85 | Facility | None | $10.00 | $10.47 | $15.85 |
BCBS Kansas Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $5.89 Typical High $10.47 | Facility | None | $3.16 | $5.89 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $10.96 Typical High $10.96 | Professional | None | $2.75 | $10.96 | $10.96 |
Medica Setting Facility Modifier None Typical Low $3.98 Median $7.41 Typical High $12.30 | Facility | None | $3.98 | $7.41 | $12.30 |
Medica Setting Professional Modifier None Typical Low $1.91 Median $2.75 Typical High $8.51 | Professional | None | $1.91 | $2.75 | $8.51 |
United Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $4.57 | Facility | None | $2.75 | $2.75 | $4.57 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.75 Typical High $9.55 | Professional | None | $1.91 | $2.75 | $9.55 |
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 $1.95 Median $2.29 Typical High $2.40 | Professional | 52 · Reduced service | $1.95 | $2.29 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.91 Typical High $0.98 | Professional | 53 · Discontinued | $0.78 | $0.91 | $0.98 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Connecticut. 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· 2nd of 51
$10.00
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.