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 $20.42 Median $41.69 Typical High $43.65 | Facility | None | $20.42 | $41.69 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $25.70 | Professional | None | $20.89 | $24.55 | $25.70 |
BCBS Kansas Setting Facility Modifier None Typical Low $31.62 Median $33.11 Typical High $50.12 | Facility | None | $31.62 | $33.11 | $50.12 |
BCBS Kansas Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $56.23 | Facility | None | $16.22 | $25.12 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $33.88 Typical High $33.88 | Professional | None | $8.71 | $33.88 | $33.88 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $21.88 Typical High $42.66 | Facility | None | $17.78 | $21.88 | $42.66 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $14.79 Typical High $32.36 | Professional | None | $10.23 | $14.79 | $32.36 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $24.55 | Facility | None | $14.79 | $14.79 | $24.55 |
United Setting Professional Modifier None Typical Low $10.23 Median $14.79 Typical High $32.36 | Professional | None | $10.23 | $14.79 | $32.36 |
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 $5.25 | Professional | 53 · Discontinued | $4.17 | $4.90 | $5.25 |
Where Kansas sits
The same service costs 4.3 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· 8th of 51
$31.62
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.