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 $12.59 Median $25.12 Typical High $27.54 | Facility | None | $12.59 | $25.12 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $13.80 Typical High $14.45 | Professional | None | $10.23 | $13.80 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $9.55 | Professional | None | $8.51 | $8.51 | $9.55 |
BCBS Kansas Setting Facility Modifier None Typical Low $42.66 Median $44.67 Typical High $67.61 | Facility | None | $42.66 | $44.67 | $67.61 |
BCBS Kansas Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $17.38 Typical High $31.62 | Facility | None | $9.55 | $17.38 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $35.48 Typical High $51.29 | Professional | None | $8.32 | $35.48 | $51.29 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $13.80 Typical High $95.50 | Facility | None | $11.48 | $13.80 | $95.50 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $21.88 | Professional | None | $5.75 | $8.32 | $21.88 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $13.80 | Facility | None | $8.32 | $8.32 | $13.80 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $28.84 | Professional | None | $5.75 | $8.32 | $28.84 |
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 $5.89 Median $6.92 Typical High $7.24 | Professional | 52 · Reduced service | $5.89 | $6.92 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.75 Typical High $2.88 | Professional | 53 · Discontinued | $2.34 | $2.75 | $2.88 |
Where Kansas sits
The same service costs 4.1 times more in Alaska than in Maryland. 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.