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 $10.72 Median $19.50 Typical High $21.88 | Facility | None | $10.72 | $19.50 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $11.22 | Professional | None | $7.94 | $10.72 | $11.22 |
BCBS Kansas Setting Facility Modifier None Typical Low $34.67 Median $37.15 Typical High $54.95 | Facility | None | $34.67 | $37.15 | $54.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $13.49 Typical High $23.99 | Facility | None | $7.24 | $13.49 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $27.54 Typical High $40.74 | Professional | None | $6.46 | $27.54 | $40.74 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $11.48 Typical High $28.18 | Facility | None | $9.33 | $11.48 | $28.18 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $19.95 | Professional | None | $4.47 | $6.31 | $19.95 |
United Setting Facility Modifier None Typical Low $6.31 Median $10.72 Typical High $22.39 | Facility | None | $6.31 | $10.72 | $22.39 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $21.88 | Professional | None | $4.47 | $6.31 | $21.88 |
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 $5.62 | Professional | 52 · Reduced service | $4.57 | $5.37 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.14 Typical High $2.24 | Professional | 53 · Discontinued | $1.82 | $2.14 | $2.24 |
Where Kansas sits
The same service costs 3.9 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
$27.54
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.