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 $9.12 Median $27.54 Typical High $28.18 | Facility | None | $9.12 | $27.54 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $9.55 | Professional | None | $6.76 | $9.12 | $9.55 |
BCBS Kansas Setting Facility Modifier None Typical Low $40.74 Median $43.65 Typical High $64.57 | Facility | None | $40.74 | $43.65 | $64.57 |
BCBS Kansas Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $11.48 Typical High $20.89 | Facility | None | $6.31 | $11.48 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $23.44 Typical High $47.86 | Professional | None | $5.50 | $23.44 | $47.86 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $14.79 Typical High $38.90 | Facility | None | $8.13 | $14.79 | $38.90 |
Medica Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $16.98 | Professional | None | $3.80 | $5.50 | $16.98 |
United Setting Facility Modifier None Typical Low $5.50 Median $9.12 Typical High $30.20 | Facility | None | $5.50 | $9.12 | $30.20 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $19.05 | Professional | None | $3.80 | $5.50 | $19.05 |
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 $3.89 Median $4.57 Typical High $4.79 | Professional | 52 · Reduced service | $3.89 | $4.57 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.82 Typical High $1.95 | Professional | 53 · Discontinued | $1.58 | $1.82 | $1.95 |
Where Kansas sits
The same service costs 5.9 times more in Kansas than in Alabama. 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
$32.36
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.