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 $5.75 Median $10.72 Typical High $13.49 | Facility | None | $5.75 | $10.72 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.75 Typical High $6.17 | Professional | None | $5.01 | $5.75 | $6.17 |
BCBS Kansas Setting Facility Modifier None Typical Low $10.00 Median $10.47 Typical High $15.49 | Facility | None | $10.00 | $10.47 | $15.49 |
BCBS Kansas Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $6.46 Typical High $13.18 | Facility | None | $3.80 | $6.46 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $10.96 Typical High $10.96 | Professional | None | $2.69 | $10.96 | $10.96 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $7.08 Typical High $12.30 | Facility | None | $4.27 | $7.08 | $12.30 |
Medica Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $9.33 | Professional | None | $2.45 | $3.47 | $9.33 |
United Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $5.75 | Facility | None | $3.47 | $3.47 | $5.75 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $10.47 | Professional | None | $2.45 | $3.47 | $10.47 |
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 $2.51 Median $2.88 Typical High $3.09 | Professional | 52 · Reduced service | $2.51 | $2.88 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.15 Typical High $1.23 | Professional | 53 · Discontinued | $1.00 | $1.15 | $1.23 |
Where Kansas sits
The same service costs 3.5 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· 2nd of 51
$10.00
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.