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 $57.54 Median $69.18 Typical High $112.20 | Facility | None | $57.54 | $69.18 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $66.07 | Professional | None | $42.66 | $61.66 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | None | $38.02 | $38.02 | $40.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $95.50 Median $100.00 Typical High $151.36 | Facility | None | $95.50 | $100.00 | $151.36 |
BCBS Kansas Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $64.57 Typical High $323.59 | Facility | None | $39.81 | $64.57 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $104.71 Typical High $104.71 | Professional | None | $32.36 | $104.71 | $104.71 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $346.74 | Facility | None | $50.12 | $64.57 | $346.74 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $79.43 | Professional | None | $26.30 | $37.15 | $79.43 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $61.66 | Facility | None | $37.15 | $37.15 | $61.66 |
United Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $128.82 | Professional | None | $26.30 | $37.15 | $128.82 |
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 $26.92 Median $30.90 Typical High $33.11 | Professional | 52 · Reduced service | $26.92 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.30 Typical High $13.18 | Professional | 53 · Discontinued | $10.72 | $12.30 | $13.18 |
Where Kansas sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 6th of 51
$95.50
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.