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 $26.30 Median $47.86 Typical High $47.86 | Facility | None | $26.30 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $29.51 | Professional | None | $23.99 | $27.54 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $63.10 Median $67.61 Typical High $100.00 | Facility | None | $63.10 | $67.61 | $100.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $35.48 Typical High $63.10 | Facility | None | $19.50 | $35.48 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $72.44 Typical High $75.86 | Professional | None | $16.98 | $72.44 | $75.86 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $25.12 Typical High $75.86 | Facility | None | $24.55 | $25.12 | $75.86 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $52.48 | Professional | None | $11.75 | $16.60 | $52.48 |
United Setting Facility Modifier None Typical Low $16.60 Median $27.54 Typical High $83.18 | Facility | None | $16.60 | $27.54 | $83.18 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $57.54 | Professional | None | $11.75 | $16.60 | $57.54 |
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 $12.02 Median $13.80 Typical High $14.79 | Professional | 52 · Reduced service | $12.02 | $13.80 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.62 Typical High $5.89 | Professional | 53 · Discontinued | $4.79 | $5.62 | $5.89 |
Where Kansas sits
The same service costs 3.5 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
$63.10
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.