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 $21.38 Median $26.92 Typical High $38.02 | Facility | None | $21.38 | $26.92 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $23.44 | Professional | None | $16.22 | $22.39 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $33.88 Median $35.48 Typical High $53.70 | Facility | None | $33.88 | $35.48 | $53.70 |
BCBS Kansas Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $24.55 Typical High $50.12 | Facility | None | $14.45 | $24.55 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $39.81 Typical High $39.81 | Professional | None | $11.22 | $39.81 | $39.81 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $18.20 Typical High $48.98 | Facility | None | $14.13 | $18.20 | $48.98 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $13.18 Typical High $35.48 | Professional | None | $7.41 | $13.18 | $35.48 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $22.39 | Facility | None | $13.18 | $13.18 | $22.39 |
United Setting Professional Modifier None Typical Low $7.41 Median $13.18 Typical High $37.15 | Professional | None | $7.41 | $13.18 | $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 $9.55 Median $10.96 Typical High $11.75 | Professional | 52 · Reduced service | $9.55 | $10.96 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.47 Typical High $4.68 | Professional | 53 · Discontinued | $3.80 | $4.47 | $4.68 |
Where Kansas sits
The same service costs 5.0 times more in Alaska 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· 3rd of 51
$33.88
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.