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 $26.92 Median $47.86 Typical High $85.11 | Facility | None | $26.92 | $47.86 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $26.92 Typical High $28.18 | Professional | None | $19.95 | $26.92 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | None | $16.60 | $16.60 | $18.62 |
BCBS Kansas Setting Facility Modifier None Typical Low $64.57 Median $69.18 Typical High $102.33 | Facility | None | $64.57 | $69.18 | $102.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $34.67 Typical High $61.66 | Facility | None | $18.62 | $34.67 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $69.18 Typical High $77.62 | Professional | None | $16.60 | $69.18 | $77.62 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $43.65 Typical High $72.44 | Facility | None | $23.99 | $43.65 | $72.44 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $50.12 | Professional | None | $11.22 | $16.22 | $50.12 |
United Setting Facility Modifier None Typical Low $16.22 Median $26.92 Typical High $89.13 | Facility | None | $16.22 | $26.92 | $89.13 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $56.23 | Professional | None | $11.22 | $16.22 | $56.23 |
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 $11.48 Median $13.49 Typical High $14.13 | Professional | 52 · Reduced service | $11.48 | $13.49 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $4.57 | $5.37 | $5.62 |
Where Kansas sits
The same service costs 3.5 times more in Kansas 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· 1st of 51
$64.57
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.