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 $8.13 Median $14.79 Typical High $20.89 | Facility | None | $8.13 | $14.79 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $8.13 Typical High $8.51 | Professional | None | $6.92 | $8.13 | $8.51 |
BCBS Kansas Setting Facility Modifier None Typical Low $25.12 Median $26.92 Typical High $39.81 | Facility | None | $25.12 | $26.92 | $39.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $8.91 Typical High $18.62 | Facility | None | $5.37 | $8.91 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $16.98 Typical High $30.20 | Professional | None | $4.07 | $16.98 | $30.20 |
Medica Setting Facility Modifier None Typical Low $5.89 Median $10.96 Typical High $18.20 | Facility | None | $5.89 | $10.96 | $18.20 |
Medica Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $13.80 | Professional | None | $3.39 | $4.79 | $13.80 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $8.13 | Facility | None | $4.79 | $4.79 | $8.13 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $16.22 | Professional | None | $3.39 | $4.79 | $16.22 |
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 $3.47 Median $4.07 Typical High $4.27 | Professional | 52 · Reduced service | $3.47 | $4.07 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.62 Typical High $1.70 | Professional | 53 · Discontinued | $1.38 | $1.62 | $1.70 |
Where Kansas sits
The same service costs 4.3 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
$22.91
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.