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 $28.84 Median $89.13 Typical High $144.54 | Facility | None | $28.84 | $89.13 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $50.12 | Professional | None | $35.48 | $47.86 | $50.12 |
Ambetter Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $33.11 | Professional | None | $29.51 | $29.51 | $33.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $56.23 Median $60.26 Typical High $89.13 | Facility | None | $56.23 | $60.26 | $89.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $109.65 | Facility | None | $31.62 | $52.48 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $93.33 Typical High $93.33 | Professional | None | $26.92 | $93.33 | $93.33 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $74.13 Typical High $97.72 | Facility | None | $35.48 | $74.13 | $97.72 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $89.13 | Professional | None | $19.95 | $28.84 | $89.13 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $47.86 | Facility | None | $28.84 | $28.84 | $47.86 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $100.00 | Professional | None | $19.95 | $28.84 | $100.00 |
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 $20.42 Median $23.99 Typical High $25.12 | Professional | 52 · Reduced service | $20.42 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.55 Typical High $10.23 | Professional | 53 · Discontinued | $8.13 | $9.55 | $10.23 |
Where Kansas sits
The same service costs 5.4 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· 9th of 51
$60.26
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.