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 $2.19 Median $3.98 Typical High $6.76 | Facility | None | $2.19 | $3.98 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $2.19 Typical High $2.29 | Professional | None | $1.86 | $2.19 | $2.29 |
Ambetter Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
BCBS Kansas Setting Facility Modifier None Typical Low $5.62 Median $5.89 Typical High $8.91 | Facility | None | $5.62 | $5.89 | $8.91 |
BCBS Kansas Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $2.75 Typical High $4.90 | Facility | None | $1.51 | $2.75 | $4.90 |
Cigna Setting Professional Modifier None Typical Low $1.35 Median $5.50 Typical High $8.91 | Professional | None | $1.35 | $5.50 | $8.91 |
Medica Setting Facility Modifier None Typical Low $1.95 Median $3.55 Typical High $5.89 | Facility | None | $1.95 | $3.55 | $5.89 |
Medica Setting Professional Modifier None Typical Low $1.29 Median $2.19 Typical High $4.07 | Professional | None | $1.29 | $2.19 | $4.07 |
United Setting Facility Modifier None Typical Low $1.29 Median $2.19 Typical High $6.03 | Facility | None | $1.29 | $2.19 | $6.03 |
United Setting Professional Modifier None Typical Low $1.29 Median $2.19 Typical High $4.47 | Professional | None | $1.29 | $2.19 | $4.47 |
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 $0.93 Median $1.10 Typical High $1.15 | Professional | 52 · Reduced service | $0.93 | $1.10 | $1.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.37 Median $0.43 Typical High $0.46 | Professional | 53 · Discontinued | $0.37 | $0.43 | $0.46 |
Where Kansas sits
The same service costs 3.2 times more in Kansas than in Washington, DC. 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
$5.62
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.