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 $10.47 Median $18.20 Typical High $19.50 | Facility | None | $10.47 | $18.20 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $10.72 Typical High $11.48 | Professional | None | $9.33 | $10.72 | $11.48 |
BCBS Kansas Setting Facility Modifier None Typical Low $13.49 Median $14.13 Typical High $21.38 | Facility | None | $13.49 | $14.13 | $21.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $13.80 Typical High $24.55 | Facility | None | $7.59 | $13.80 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $25.70 Typical High $25.70 | Professional | None | $6.61 | $25.70 | $25.70 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $10.72 Typical High $28.84 | Facility | None | $9.55 | $10.72 | $28.84 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $6.46 Typical High $19.95 | Professional | None | $4.47 | $6.46 | $19.95 |
United Setting Facility Modifier None Typical Low $6.46 Median $10.72 Typical High $31.62 | Facility | None | $6.46 | $10.72 | $31.62 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.46 Typical High $22.39 | Professional | None | $4.47 | $6.46 | $22.39 |
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 $4.57 Median $5.37 Typical High $5.75 | Professional | 52 · Reduced service | $4.57 | $5.37 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.14 Typical High $2.29 | Professional | 53 · Discontinued | $1.86 | $2.14 | $2.29 |
Where Kansas sits
The same service costs 3.4 times more in Alaska 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· 13th of 51
$13.49
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.