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 $14.79 Median $39.81 Typical High $44.67 | Facility | None | $14.79 | $39.81 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $22.91 | Professional | None | $18.62 | $21.38 | $22.91 |
BCBS Kansas Setting Facility Modifier None Typical Low $30.20 Median $31.62 Typical High $46.77 | Facility | None | $30.20 | $31.62 | $46.77 |
BCBS Kansas Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $27.54 Typical High $48.98 | Facility | None | $15.14 | $27.54 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $36.31 Typical High $36.31 | Professional | None | $13.18 | $36.31 | $36.31 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $23.44 Typical High $58.88 | Facility | None | $18.62 | $23.44 | $58.88 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $35.48 | Professional | None | $9.12 | $12.88 | $35.48 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $21.38 | Facility | None | $12.88 | $12.88 | $21.38 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $43.65 | Professional | None | $9.12 | $12.88 | $43.65 |
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 $9.33 Median $10.72 Typical High $11.48 | Professional | 52 · Reduced service | $9.33 | $10.72 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.27 Typical High $4.57 | Professional | 53 · Discontinued | $3.72 | $4.27 | $4.57 |
Where Kansas sits
The same service costs 3.0 times more in Alaska than in Texas. 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
$30.20
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.