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 $19.05 Median $30.20 Typical High $50.12 | Facility | None | $19.05 | $30.20 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $29.51 | Professional | None | $20.89 | $28.18 | $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 $28.18 Median $41.69 Typical High $43.65 | Facility | None | $28.18 | $41.69 | $43.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $28.84 Typical High $61.66 | Facility | None | $18.20 | $28.84 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $40.74 Typical High $40.74 | Professional | None | $13.18 | $40.74 | $40.74 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $131.83 | Facility | None | $19.50 | $28.18 | $131.83 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $47.86 | Professional | None | $11.75 | $16.60 | $47.86 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $28.18 | Facility | None | $16.60 | $16.60 | $28.18 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $56.23 | Professional | None | $11.75 | $16.60 | $56.23 |
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 $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $12.02 | $14.13 | $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 3.8 times more in Alaska than in Nebraska. 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· 12th of 51
$29.51
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.