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 $4.17 Median $13.49 Typical High $14.13 | Facility | None | $4.17 | $13.49 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $4.27 Typical High $4.57 | Professional | None | $3.24 | $4.27 | $4.57 |
BCBS Kansas Setting Facility Modifier None Typical Low $7.76 Median $8.32 Typical High $12.30 | Facility | None | $7.76 | $8.32 | $12.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $5.50 Typical High $10.00 | Facility | None | $3.02 | $5.50 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $10.00 Typical High $10.00 | Professional | None | $2.57 | $10.00 | $10.00 |
Medica Setting Facility Modifier None Typical Low $3.89 Median $7.08 Typical High $11.75 | Facility | None | $3.89 | $7.08 | $11.75 |
Medica Setting Professional Modifier None Typical Low $1.82 Median $2.57 Typical High $8.13 | Professional | None | $1.82 | $2.57 | $8.13 |
United Setting Facility Modifier None Typical Low $2.57 Median $4.27 Typical High $12.02 | Facility | None | $2.57 | $4.27 | $12.02 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.57 Typical High $8.91 | Professional | None | $1.82 | $2.57 | $8.91 |
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 $1.86 Median $2.14 Typical High $2.29 | Professional | 52 · Reduced service | $1.86 | $2.14 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.85 Typical High $0.91 | Professional | 53 · Discontinued | $0.74 | $0.85 | $0.91 |
Where Kansas sits
The same service costs 3.1 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· 3rd of 51
$7.76
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.