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 $16.22 Median $30.90 Typical High $45.71 | Facility | None | $16.22 | $30.90 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $17.78 | Professional | None | $13.49 | $16.98 | $17.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $25.12 Median $26.30 Typical High $39.81 | Facility | None | $25.12 | $26.30 | $39.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $18.62 Typical High $38.02 | Facility | None | $10.96 | $18.62 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $36.31 Typical High $36.31 | Professional | None | $8.91 | $36.31 | $36.31 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $23.99 Typical High $39.81 | Facility | None | $13.18 | $23.99 | $39.81 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $30.20 | Professional | None | $7.08 | $10.00 | $30.20 |
United Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $16.98 | Facility | None | $10.00 | $10.00 | $16.98 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $34.67 | Professional | None | $7.08 | $10.00 | $34.67 |
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 $7.24 Median $8.51 Typical High $8.91 | Professional | 52 · Reduced service | $7.24 | $8.51 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.39 Typical High $3.55 | Professional | 53 · Discontinued | $2.88 | $3.39 | $3.55 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in New York. 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· 6th of 51
$25.12
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.