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 $19.95 Median $34.67 Typical High $63.10 | Facility | None | $19.95 | $34.67 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.95 Typical High $23.44 | Professional | None | $17.38 | $19.95 | $23.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $36.31 Median $38.90 Typical High $57.54 | Facility | None | $36.31 | $38.90 | $57.54 |
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 $18.20 Median $32.36 Typical High $112.20 | Facility | None | $18.20 | $32.36 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $47.86 Typical High $47.86 | Professional | None | $10.47 | $47.86 | $47.86 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $33.11 Typical High $54.95 | Facility | None | $19.95 | $33.11 | $54.95 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $12.02 Typical High $165.96 | Professional | None | $9.77 | $12.02 | $165.96 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $19.95 | Facility | None | $12.02 | $12.02 | $19.95 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $41.69 | Professional | None | $8.51 | $12.02 | $41.69 |
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 $8.71 Median $10.00 Typical High $10.72 | Professional | 52 · Reduced service | $8.71 | $10.00 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.98 Typical High $4.27 | Professional | 53 · Discontinued | $3.47 | $3.98 | $4.27 |
Where Kansas sits
The same service costs 4.3 times more in Alaska than in Alabama. 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· 3rd of 51
$36.31
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.