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 $4.07 Median $8.32 Typical High $10.23 | Facility | None | $4.07 | $8.32 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.47 Typical High $4.79 | Professional | None | $3.80 | $4.47 | $4.79 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.92 Median $7.24 Typical High $10.72 | Facility | None | $6.92 | $7.24 | $10.72 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $4.90 Typical High $10.23 | Facility | None | $2.95 | $4.90 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $7.94 Typical High $7.94 | Professional | None | $2.04 | $7.94 | $7.94 |
Medica Setting Facility Modifier None Typical Low $3.24 Median $5.37 Typical High $8.71 | Facility | None | $3.24 | $5.37 | $8.71 |
Medica Setting Professional Modifier None Typical Low $1.86 Median $2.69 Typical High $7.08 | Professional | None | $1.86 | $2.69 | $7.08 |
United Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $4.47 | Facility | None | $2.69 | $2.69 | $4.47 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.69 Typical High $7.94 | Professional | None | $1.86 | $2.69 | $7.94 |
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 $1.91 Median $2.24 Typical High $2.34 | Professional | 52 · Reduced service | $1.91 | $2.24 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.89 Typical High $0.95 | Professional | 53 · Discontinued | $0.78 | $0.89 | $0.95 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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
$6.92
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.