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 $7.24 Median $13.18 Typical High $23.44 | Facility | None | $7.24 | $13.18 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $7.24 Typical High $7.59 | Professional | None | $6.17 | $7.24 | $7.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $20.89 Median $21.88 Typical High $33.11 | Facility | None | $20.89 | $21.88 | $33.11 |
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 $5.01 Median $9.33 Typical High $16.22 | Facility | None | $5.01 | $9.33 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $19.95 Typical High $21.88 | Professional | None | $4.57 | $19.95 | $21.88 |
Medica Setting Facility Modifier None Typical Low $6.31 Median $12.30 Typical High $20.42 | Facility | None | $6.31 | $12.30 | $20.42 |
Medica Setting Professional Modifier None Typical Low $3.02 Median $4.37 Typical High $14.79 | Professional | None | $3.02 | $4.37 | $14.79 |
United Setting Facility Modifier None Typical Low $4.37 Median $7.24 Typical High $22.39 | Facility | None | $4.37 | $7.24 | $22.39 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.37 Typical High $15.14 | Professional | None | $3.02 | $4.37 | $15.14 |
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 $3.09 Median $3.63 Typical High $3.80 | Professional | 52 · Reduced service | $3.09 | $3.63 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.45 Typical High $1.51 | Professional | 53 · Discontinued | $1.23 | $1.45 | $1.51 |
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
$20.89
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.