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 $24.55 Median $43.65 Typical High $79.43 | Facility | None | $24.55 | $43.65 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $25.12 Typical High $26.92 | Professional | None | $19.05 | $25.12 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $74.13 Median $77.62 Typical High $114.82 | Facility | None | $74.13 | $77.62 | $114.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $32.36 Typical High $57.54 | Facility | None | $17.78 | $32.36 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $66.07 Typical High $87.10 | Professional | None | $15.49 | $66.07 | $87.10 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $41.69 Typical High $69.18 | Facility | None | $21.88 | $41.69 | $69.18 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $46.77 | Professional | None | $10.72 | $15.14 | $46.77 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $25.12 | Facility | None | $15.14 | $15.14 | $25.12 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $52.48 | Professional | None | $10.72 | $15.14 | $52.48 |
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 $10.96 Median $12.59 Typical High $13.49 | Professional | 52 · Reduced service | $10.96 | $12.59 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.01 Typical High $5.37 | Professional | 53 · Discontinued | $4.37 | $5.01 | $5.37 |
Where Kansas sits
The same service costs 3.7 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
$69.18
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.