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 $9.77 Median $17.78 Typical High $30.90 | Facility | None | $9.77 | $17.78 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $9.77 Typical High $10.23 | Professional | None | $7.24 | $9.77 | $10.23 |
Ambetter Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.76 | Professional | None | $5.89 | $5.89 | $6.76 |
BCBS Kansas Setting Facility Modifier None Typical Low $48.98 Median $52.48 Typical High $77.62 | Facility | None | $48.98 | $52.48 | $77.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $12.59 Typical High $22.39 | Facility | None | $6.76 | $12.59 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $25.12 Typical High $32.36 | Professional | None | $5.89 | $25.12 | $32.36 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $15.85 Typical High $26.30 | Facility | None | $8.71 | $15.85 | $26.30 |
Medica Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $18.20 | Professional | None | $4.07 | $5.75 | $18.20 |
United Setting Facility Modifier None Typical Low $5.75 Median $9.77 Typical High $23.99 | Facility | None | $5.75 | $9.77 | $23.99 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $19.95 | Professional | None | $4.07 | $5.75 | $19.95 |
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 $4.17 Median $4.79 Typical High $5.13 | Professional | 52 · Reduced service | $4.17 | $4.79 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.95 Typical High $2.04 | Professional | 53 · Discontinued | $1.66 | $1.95 | $2.04 |
Where Kansas sits
The same service costs 4.4 times more in Kansas than in Alabama. 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· 1st of 51
$30.90
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.