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 $6.31 Median $21.88 Typical High $26.30 | Facility | None | $6.31 | $21.88 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $12.30 | Professional | None | $10.00 | $11.75 | $12.30 |
BCBS Kansas Setting Facility Modifier None Typical Low $19.95 Median $21.38 Typical High $31.62 | Facility | None | $19.95 | $21.38 | $31.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $12.88 Typical High $26.92 | Facility | None | $7.76 | $12.88 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $21.88 Typical High $23.99 | Professional | None | $5.50 | $21.88 | $23.99 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $13.80 Typical High $22.91 | Facility | None | $8.51 | $13.80 | $22.91 |
Medica Setting Professional Modifier None Typical Low $4.37 Median $7.08 Typical High $18.62 | Professional | None | $4.37 | $7.08 | $18.62 |
United Setting Facility Modifier None Typical Low $7.08 Median $11.75 Typical High $18.20 | Facility | None | $7.08 | $11.75 | $18.20 |
United Setting Professional Modifier None Typical Low $4.37 Median $7.08 Typical High $20.42 | Professional | None | $4.37 | $7.08 | $20.42 |
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 $5.01 Median $5.89 Typical High $6.17 | Professional | 52 · Reduced service | $5.01 | $5.89 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.34 Typical High $2.51 | Professional | 53 · Discontinued | $2.04 | $2.34 | $2.51 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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
$19.95
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.