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 $16.60 Median $28.18 Typical High $38.02 | Facility | None | $16.60 | $28.18 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $19.95 | Professional | None | $11.48 | $16.60 | $19.95 |
BCBS Kansas Setting Facility Modifier None Typical Low $34.67 Median $37.15 Typical High $54.95 | Facility | None | $34.67 | $37.15 | $54.95 |
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 $18.20 Typical High $38.02 | Facility | None | $10.96 | $18.20 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $31.62 Typical High $40.74 | Professional | None | $7.76 | $31.62 | $40.74 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $19.95 Typical High $32.36 | Facility | None | $12.02 | $19.95 | $32.36 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $18.62 | Professional | None | $14.13 | $16.60 | $18.62 |
United Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $16.60 | Facility | None | $10.00 | $10.00 | $16.60 |
United Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $25.70 | Professional | None | $14.13 | $16.60 | $25.70 |
3 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 $7.08 Median $8.32 Typical High $8.71 | Professional | 52 · Reduced service | $7.08 | $8.32 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.31 Typical High $3.55 | Professional | 53 · Discontinued | $2.82 | $3.31 | $3.55 |
Ambetter Setting Professional Modifier 59 · Distinct service + QW · Waived lab test Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 59 · Distinct service + QW · Waived lab test | $8.32 | $8.32 | $8.32 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 2nd of 51
$34.67
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.