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 $10.96 Median $29.51 Typical High $33.88 | Facility | None | $10.96 | $29.51 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $19.95 | Professional | None | $12.88 | $18.62 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $11.48 | Professional | None | $6.31 | $6.31 | $11.48 |
BCBS Kansas Setting Facility Modifier None Typical Low $19.95 Median $21.38 Typical High $31.62 | Facility | None | $19.95 | $21.38 | $31.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $20.89 Typical High $42.66 | Facility | None | $12.30 | $20.89 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $26.92 Typical High $27.54 | Professional | None | $8.91 | $26.92 | $27.54 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $16.22 Typical High $32.36 | Facility | None | $13.80 | $16.22 | $32.36 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $30.20 | Professional | None | $7.94 | $11.22 | $30.20 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $18.62 | Facility | None | $11.22 | $11.22 | $18.62 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $32.36 | Professional | None | $7.94 | $11.22 | $32.36 |
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 $8.13 Median $9.33 Typical High $10.00 | Professional | 52 · Reduced service | $8.13 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.72 Typical High $3.98 | Professional | 53 · Discontinued | $3.24 | $3.72 | $3.98 |
Where Kansas sits
The same service costs 3.6 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· 13th of 51
$20.89
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.