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 $7.94 Median $10.23 Typical High $19.95 | Facility | None | $7.94 | $10.23 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $10.23 | Professional | None | $6.03 | $8.71 | $10.23 |
Ambetter Setting Professional Modifier None Typical Low $3.63 Median $3.98 Typical High $5.37 | Professional | None | $3.63 | $3.98 | $5.37 |
BCBS Kansas Setting Facility Modifier None Typical Low $17.38 Median $18.20 Typical High $26.92 | Facility | None | $17.38 | $18.20 | $26.92 |
BCBS Kansas Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $9.55 Typical High $19.50 | Facility | None | $5.62 | $9.55 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $14.45 Typical High $19.95 | Professional | None | $4.17 | $14.45 | $19.95 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $10.47 Typical High $100.00 | Facility | None | $6.76 | $10.47 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $13.80 | Professional | None | $5.13 | $8.71 | $13.80 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $8.71 | Facility | None | $5.13 | $5.13 | $8.71 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $15.49 | Professional | None | $5.13 | $8.71 | $15.49 |
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 $3.72 Median $4.27 Typical High $4.57 | Professional | 52 · Reduced service | $3.72 | $4.27 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.74 Typical High $1.82 | Professional | 53 · Discontinued | $1.48 | $1.74 | $1.82 |
Where Kansas sits
The same service costs 15.8 times more in Minnesota 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· 6th of 51
$17.38
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.