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 $12.59 Median $23.44 Typical High $39.81 | Facility | None | $12.59 | $23.44 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $12.59 Typical High $13.49 | Professional | None | $9.55 | $12.59 | $13.49 |
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 $8.91 Median $16.22 Typical High $28.84 | Facility | None | $8.91 | $16.22 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $32.36 Typical High $48.98 | Professional | None | $7.76 | $32.36 | $48.98 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $20.89 Typical High $34.67 | Facility | None | $11.48 | $20.89 | $34.67 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $23.44 | Professional | None | $5.37 | $7.59 | $23.44 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $12.59 | Facility | None | $7.59 | $7.59 | $12.59 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $26.30 | Professional | None | $5.37 | $7.59 | $26.30 |
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 $5.50 Median $6.31 Typical High $6.76 | Professional | 52 · Reduced service | $5.50 | $6.31 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.51 Typical High $2.69 | Professional | 53 · Discontinued | $2.19 | $2.51 | $2.69 |
Where Kansas sits
The same service costs 4.7 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
$39.81
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.