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 $22.91 Median $53.70 Typical High $61.66 | Facility | None | $22.91 | $53.70 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $22.91 Typical High $24.55 | Professional | None | $15.85 | $22.91 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $181.97 Median $190.55 Typical High $288.40 | Facility | None | $181.97 | $190.55 | $288.40 |
BCBS Kansas Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $25.70 Typical High $52.48 | Facility | None | $15.14 | $25.70 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $43.65 Typical High $213.80 | Professional | None | $10.96 | $43.65 | $213.80 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $27.54 Typical High $87.10 | Facility | None | $16.60 | $27.54 | $87.10 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $37.15 | Professional | None | $9.55 | $13.80 | $37.15 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $22.91 | Facility | None | $13.80 | $13.80 | $22.91 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $40.74 | Professional | None | $9.55 | $13.80 | $40.74 |
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 $9.77 Median $11.48 Typical High $12.30 | Professional | 52 · Reduced service | $9.77 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.57 Typical High $4.90 | Professional | 53 · Discontinued | $3.98 | $4.57 | $4.90 |
Where Kansas sits
The same service costs 4.9 times more in Kansas 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· 1st of 51
$70.79
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.