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 $25.12 Median $32.36 Typical High $48.98 | Facility | None | $25.12 | $32.36 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $26.92 Typical High $28.84 | Professional | None | $17.78 | $26.92 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
BCBS Kansas Setting Facility Modifier None Typical Low $26.92 Median $40.74 Typical High $42.66 | Facility | None | $26.92 | $40.74 | $42.66 |
BCBS Kansas Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $28.18 Typical High $60.26 | Facility | None | $17.78 | $28.18 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $38.90 Typical High $39.81 | Professional | None | $12.88 | $38.90 | $39.81 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $26.92 Typical High $128.82 | Facility | None | $13.49 | $26.92 | $128.82 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $43.65 | Professional | None | $11.48 | $16.22 | $43.65 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $26.92 | Facility | None | $16.22 | $16.22 | $26.92 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $45.71 | Professional | None | $11.48 | $16.22 | $45.71 |
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 $11.75 Median $13.49 Typical High $14.45 | Professional | 52 · Reduced service | $11.75 | $13.49 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.37 Typical High $5.75 | Professional | 53 · Discontinued | $4.68 | $5.37 | $5.75 |
Where Kansas sits
The same service costs 4.0 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· 13th of 51
$28.18
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.