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 $18.62 Median $35.48 Typical High $57.54 | Facility | None | $18.62 | $35.48 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $19.50 Typical High $20.42 | Professional | None | $14.45 | $19.50 | $20.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $26.30 Median $27.54 Typical High $41.69 | Facility | None | $26.30 | $27.54 | $41.69 |
BCBS Kansas Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $25.12 Typical High $44.67 | Facility | None | $13.49 | $25.12 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $43.65 Typical High $43.65 | Professional | None | $11.75 | $43.65 | $43.65 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $30.20 Typical High $52.48 | Facility | None | $17.38 | $30.20 | $52.48 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $11.75 Typical High $36.31 | Professional | None | $8.13 | $11.75 | $36.31 |
United Setting Facility Modifier None Typical Low $11.75 Median $19.50 Typical High $60.26 | Facility | None | $11.75 | $19.50 | $60.26 |
United Setting Professional Modifier None Typical Low $8.13 Median $11.75 Typical High $40.74 | Professional | None | $8.13 | $11.75 | $40.74 |
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 $8.32 Median $9.77 Typical High $10.23 | Professional | 52 · Reduced service | $8.32 | $9.77 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.89 Typical High $4.07 | Professional | 53 · Discontinued | $3.31 | $3.89 | $4.07 |
Where Kansas sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 10th of 51
$26.92
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.