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 $4.90 Median $8.71 Typical High $16.22 | Facility | None | $4.90 | $8.71 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $5.13 Typical High $5.37 | Professional | None | $3.80 | $5.13 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
BCBS Kansas Setting Facility Modifier None Typical Low $11.22 Median $12.02 Typical High $17.78 | Facility | None | $11.22 | $12.02 | $17.78 |
BCBS Kansas Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $6.61 Typical High $11.75 | Facility | None | $3.55 | $6.61 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $12.88 Typical High $14.13 | Professional | None | $3.16 | $12.88 | $14.13 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $8.32 Typical High $10.96 | Facility | None | $4.47 | $8.32 | $10.96 |
Medica Setting Professional Modifier None Typical Low $2.14 Median $3.09 Typical High $9.55 | Professional | None | $2.14 | $3.09 | $9.55 |
United Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $5.13 | Facility | None | $3.09 | $3.09 | $5.13 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.09 Typical High $10.72 | Professional | None | $2.14 | $3.09 | $10.72 |
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 $2.19 Median $2.51 Typical High $2.69 | Professional | 52 · Reduced service | $2.19 | $2.51 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $1.02 Typical High $1.07 | Professional | 53 · Discontinued | $0.87 | $1.02 | $1.07 |
Where Kansas sits
The same service costs 7.2 times more in Alaska than in Kentucky. 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
$11.22
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.