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 $16.22 Median $26.92 Typical High $32.36 | Facility | None | $16.22 | $26.92 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $18.20 Typical High $19.05 | Professional | None | $13.49 | $18.20 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $213.80 Median $223.87 Typical High $331.13 | Facility | None | $213.80 | $223.87 | $331.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $23.44 Typical High $40.74 | Facility | None | $12.59 | $23.44 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $46.77 Typical High $229.09 | Professional | None | $11.22 | $46.77 | $229.09 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $16.22 Typical High $48.98 | Facility | None | $14.13 | $16.22 | $48.98 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $10.96 Typical High $33.88 | Professional | None | $7.41 | $10.96 | $33.88 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $18.20 | Facility | None | $10.96 | $10.96 | $18.20 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.96 Typical High $37.15 | Professional | None | $7.41 | $10.96 | $37.15 |
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 $7.76 Median $9.12 Typical High $9.55 | Professional | 52 · Reduced service | $7.76 | $9.12 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.63 Typical High $3.80 | Professional | 53 · Discontinued | $3.09 | $3.63 | $3.80 |
Where Kansas sits
The same service costs 8.3 times more in Kansas than in Georgia. 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
$74.13
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.