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 $11.75 Median $16.60 Typical High $33.11 | Facility | None | $11.75 | $16.60 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $19.95 | Professional | None | $16.22 | $19.05 | $19.95 |
BCBS Kansas Setting Facility Modifier None Typical Low $158.49 Median $169.82 Typical High $251.19 | Facility | None | $158.49 | $169.82 | $251.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $24.55 Typical High $42.66 | Facility | None | $13.18 | $24.55 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $48.98 Typical High $190.55 | Professional | None | $11.48 | $48.98 | $190.55 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $17.38 Typical High $51.29 | Facility | None | $8.51 | $17.38 | $51.29 |
Medica Setting Professional Modifier None Typical Low $2.40 Median $11.22 Typical High $35.48 | Professional | None | $2.40 | $11.22 | $35.48 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $19.05 | Facility | None | $11.22 | $11.22 | $19.05 |
United Setting Professional Modifier None Typical Low $2.40 Median $11.22 Typical High $38.90 | Professional | None | $2.40 | $11.22 | $38.90 |
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 $8.13 Median $9.55 Typical High $10.00 | Professional | 52 · Reduced service | $8.13 | $9.55 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.80 Typical High $3.98 | Professional | 53 · Discontinued | $3.24 | $3.80 | $3.98 |
Where Kansas sits
The same service costs 7.1 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
$89.13
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.