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 $15.85 Median $22.91 Typical High $38.02 | Facility | None | $15.85 | $22.91 | $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 $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
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 $27.54 Typical High $40.74 | Professional | None | $7.76 | $27.54 | $40.74 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $19.95 Typical High $77.62 | Facility | None | $12.02 | $19.95 | $77.62 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $26.30 | Professional | None | $10.00 | $16.60 | $26.30 |
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 $10.00 Median $16.60 Typical High $29.51 | Professional | None | $10.00 | $16.60 | $29.51 |
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 $3.47 | Professional | 53 · Discontinued | $2.82 | $3.31 | $3.47 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $7.08 Median $7.41 Typical High $10.23 | Professional | QW · Waived lab test | $7.08 | $7.41 | $10.23 |
Where Kansas sits
The same service costs 5.2 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
$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.