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 $5.50 Median $5.50 Typical High $15.14 | Facility | None | $5.50 | $5.50 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $7.08 | Professional | None | $5.01 | $6.61 | $7.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $2.57 Median $2.69 Typical High $4.07 | Facility | None | $2.57 | $2.69 | $4.07 |
BCBS Kansas Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $8.51 Typical High $15.49 | Facility | None | $4.68 | $8.51 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $16.98 Typical High $16.98 | Professional | None | $4.07 | $16.98 | $16.98 |
Medica Setting Facility Modifier None Typical Low $2.88 Median $6.03 Typical High $21.38 | Facility | None | $2.88 | $6.03 | $21.38 |
Medica Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $12.30 | Professional | None | $2.82 | $3.98 | $12.30 |
United Setting Facility Modifier None Typical Low $3.98 Median $6.61 Typical High $30.20 | Facility | None | $3.98 | $6.61 | $30.20 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $13.80 | Professional | None | $2.82 | $3.98 | $13.80 |
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 $2.88 Median $3.31 Typical High $3.55 | Professional | 52 · Reduced service | $2.88 | $3.31 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.32 Typical High $1.41 | Professional | 53 · Discontinued | $1.12 | $1.32 | $1.41 |
Where Kansas sits
The same service costs 3.6 times more in Alaska than in Kansas. 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· 51st of 51
$4.07
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.