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 $24.55 Median $44.67 Typical High $77.62 | Facility | None | $24.55 | $44.67 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $25.70 | Professional | None | $18.20 | $24.55 | $25.70 |
BCBS Kansas Setting Facility Modifier None Typical Low $60.26 Median $64.57 Typical High $95.50 | Facility | None | $60.26 | $64.57 | $95.50 |
BCBS Kansas Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $31.62 Typical High $54.95 | Facility | None | $16.98 | $31.62 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $63.10 Typical High $72.44 | Professional | None | $14.79 | $63.10 | $72.44 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $39.81 Typical High $66.07 | Facility | None | $21.38 | $39.81 | $66.07 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $45.71 | Professional | None | $10.23 | $14.45 | $45.71 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $24.55 | Facility | None | $14.45 | $14.45 | $24.55 |
United Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $51.29 | Professional | None | $10.23 | $14.45 | $51.29 |
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 $10.47 Median $12.30 Typical High $12.88 | Professional | 52 · Reduced service | $10.47 | $12.30 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.90 Typical High $5.13 | Professional | 53 · Discontinued | $4.17 | $4.90 | $5.13 |
Where Kansas sits
The same service costs 4.0 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
$60.26
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.