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 $74.13 Median $223.87 Typical High $223.87 | Facility | None | $74.13 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $79.43 | Professional | None | $54.95 | $74.13 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | None | $45.71 | $45.71 | $52.48 |
BCBS Kansas Setting Facility Modifier None Typical Low $97.72 Median $102.33 Typical High $151.36 | Facility | None | $97.72 | $102.33 | $151.36 |
BCBS Kansas Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $77.62 Typical High $416.87 | Facility | None | $48.98 | $77.62 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $147.91 Typical High $147.91 | Professional | None | $43.65 | $147.91 | $147.91 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $117.49 Typical High $151.36 | Facility | None | $54.95 | $117.49 | $151.36 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $120.23 | Professional | None | $37.15 | $44.67 | $120.23 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $74.13 | Facility | None | $44.67 | $44.67 | $74.13 |
United Setting Professional Modifier None Typical Low $31.62 Median $44.67 Typical High $154.88 | Professional | None | $31.62 | $44.67 | $154.88 |
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 $32.36 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $32.36 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $15.85 | Professional | 53 · Discontinued | $12.88 | $15.14 | $15.85 |
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· 10th of 51
$100
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.