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 $22.91 Median $41.69 Typical High $70.79 | Facility | None | $22.91 | $41.69 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $23.99 | Professional | None | $19.50 | $22.91 | $23.99 |
BCBS Kansas Setting Facility Modifier None Typical Low $63.10 Median $66.07 Typical High $100.00 | Facility | None | $63.10 | $66.07 | $100.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $28.84 Typical High $51.29 | Facility | None | $15.85 | $28.84 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $58.88 Typical High $67.61 | Professional | None | $13.80 | $58.88 | $67.61 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $37.15 Typical High $61.66 | Facility | None | $20.42 | $37.15 | $61.66 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $42.66 | Professional | None | $9.55 | $13.49 | $42.66 |
United Setting Facility Modifier None Typical Low $13.49 Median $22.91 Typical High $75.86 | Facility | None | $13.49 | $22.91 | $75.86 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $46.77 | Professional | None | $9.55 | $13.49 | $46.77 |
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 $9.77 Median $11.22 Typical High $12.02 | Professional | 52 · Reduced service | $9.77 | $11.22 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.57 Typical High $4.79 | Professional | 53 · Discontinued | $3.89 | $4.57 | $4.79 |
Where Kansas sits
The same service costs 4.2 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
$63.10
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.