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 $37.15 Median $66.07 Typical High $120.23 | Facility | None | $37.15 | $66.07 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $40.74 | Professional | None | $33.11 | $38.90 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | None | $23.44 | $23.44 | $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 $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $48.98 Typical High $87.10 | Facility | None | $26.92 | $48.98 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $93.33 Typical High $93.33 | Professional | None | $23.99 | $93.33 | $93.33 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $63.10 Typical High $104.71 | Facility | None | $33.88 | $63.10 | $104.71 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $72.44 | Professional | None | $16.22 | $22.91 | $72.44 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $38.90 | Facility | None | $22.91 | $22.91 | $38.90 |
United Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $79.43 | Professional | None | $16.22 | $22.91 | $79.43 |
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 $16.60 Median $19.05 Typical High $20.42 | Professional | 52 · Reduced service | $16.60 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.76 Typical High $8.13 | Professional | 53 · Discontinued | $6.61 | $7.76 | $8.13 |
Where Kansas sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 8th 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.