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 $35.48 Median $64.57 Typical High $109.65 | Facility | None | $35.48 | $64.57 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | None | $30.20 | $35.48 | $37.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.02 Median $40.74 Typical High $60.26 | Facility | None | $38.02 | $40.74 | $60.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $57.54 Typical High $194.98 | Facility | None | $31.62 | $57.54 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $85.11 Typical High $85.11 | Professional | None | $18.20 | $85.11 | $85.11 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $61.66 | Facility | None | $30.20 | $57.54 | $61.66 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $363.08 | Professional | None | $20.89 | $23.44 | $363.08 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $35.48 | Facility | None | $20.89 | $20.89 | $35.48 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $72.44 | Professional | None | $14.79 | $20.89 | $72.44 |
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 $15.14 Median $17.38 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $7.08 | $7.41 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 22nd of 51
$40.74
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.