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 $25.70 Median $46.77 Typical High $79.43 | Facility | None | $25.70 | $46.77 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $26.92 | Professional | None | $19.05 | $25.70 | $26.92 |
BCBS Kansas Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $89.13 | Facility | None | $56.23 | $58.88 | $89.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $32.36 Typical High $57.54 | Facility | None | $17.38 | $32.36 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $61.66 Typical High $61.66 | Professional | None | $15.49 | $61.66 | $61.66 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $40.74 Typical High $67.61 | Facility | None | $22.91 | $40.74 | $67.61 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $47.86 | Professional | None | $10.72 | $15.49 | $47.86 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $25.70 | Facility | None | $15.49 | $15.49 | $25.70 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $53.70 | Professional | None | $10.72 | $15.49 | $53.70 |
3 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 $10.96 Median $12.88 Typical High $13.49 | Professional | 52 · Reduced service | $10.96 | $12.88 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.13 Typical High $5.37 | Professional | 53 · Discontinued | $4.37 | $5.13 | $5.37 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 90 · Outside lab | $17.38 | $17.38 | $17.38 |
Where Kansas sits
The same service costs 3.1 times more in Alaska 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· 2nd of 51
$56.23
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.