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 $9.77 Median $18.20 Typical High $28.84 | Facility | None | $9.77 | $18.20 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $9.77 Typical High $10.47 | Professional | None | $8.32 | $9.77 | $10.47 |
BCBS Kansas Setting Facility Modifier None Typical Low $30.90 Median $32.36 Typical High $48.98 | Facility | None | $30.90 | $32.36 | $48.98 |
BCBS Kansas Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $11.75 Typical High $22.39 | Facility | None | $6.46 | $11.75 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $23.99 Typical High $33.11 | Professional | None | $5.62 | $23.99 | $33.11 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $15.14 Typical High $25.12 | Facility | None | $8.91 | $15.14 | $25.12 |
Medica Setting Professional Modifier None Typical Low $4.07 Median $5.89 Typical High $18.20 | Professional | None | $4.07 | $5.89 | $18.20 |
United Setting Facility Modifier None Typical Low $5.89 Median $9.77 Typical High $25.70 | Facility | None | $5.89 | $9.77 | $25.70 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.89 Typical High $20.42 | Professional | None | $4.07 | $5.89 | $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 $4.27 Median $4.90 Typical High $5.25 | Professional | 52 · Reduced service | $4.27 | $4.90 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.95 Typical High $2.09 | Professional | 53 · Discontinued | $1.70 | $1.95 | $2.09 |
Where Kansas sits
The same service costs 4.4 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
$28.84
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.