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 $8.91 Median $16.22 Typical High $28.18 | Facility | None | $8.91 | $16.22 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $8.91 Typical High $9.33 | Professional | None | $7.59 | $8.91 | $9.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $25.12 Median $26.30 Typical High $38.90 | Facility | None | $25.12 | $26.30 | $38.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $11.48 Typical High $19.95 | Facility | None | $6.17 | $11.48 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $23.44 Typical High $26.92 | Professional | None | $5.50 | $23.44 | $26.92 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $14.45 Typical High $23.99 | Facility | None | $7.94 | $14.45 | $23.99 |
Medica Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $16.60 | Professional | None | $3.72 | $5.37 | $16.60 |
United Setting Facility Modifier None Typical Low $5.37 Median $8.91 Typical High $30.20 | Facility | None | $5.37 | $8.91 | $30.20 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $18.62 | Professional | None | $3.72 | $5.37 | $18.62 |
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 $3.80 Median $4.47 Typical High $4.68 | Professional | 52 · Reduced service | $3.80 | $4.47 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.78 Typical High $1.86 | Professional | 53 · Discontinued | $1.51 | $1.78 | $1.86 |
Where Kansas sits
The same service costs 3.8 times more in Kansas than in Oklahoma. 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
$25.12
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.