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 $13.18 Median $23.44 Typical High $42.66 | Facility | None | $13.18 | $23.44 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $13.49 Typical High $14.45 | Professional | None | $11.75 | $13.49 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
BCBS Kansas Setting Facility Modifier None Typical Low $37.15 Median $38.90 Typical High $58.88 | Facility | None | $37.15 | $38.90 | $58.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $17.38 Typical High $30.90 | Facility | None | $9.55 | $17.38 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $35.48 Typical High $43.65 | Professional | None | $8.32 | $35.48 | $43.65 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $22.39 Typical High $37.15 | Facility | None | $11.75 | $22.39 | $37.15 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $25.12 | Professional | None | $5.75 | $8.13 | $25.12 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $13.49 | Facility | None | $8.13 | $8.13 | $13.49 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $28.18 | Professional | None | $5.75 | $8.13 | $28.18 |
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 $5.75 Median $6.76 Typical High $7.24 | Professional | 52 · Reduced service | $5.75 | $6.76 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.69 Typical High $2.88 | Professional | 53 · Discontinued | $2.34 | $2.69 | $2.88 |
Where Kansas sits
The same service costs 3.9 times more in Kansas than in New Jersey. 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· 1st of 51
$37.15
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.