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 $11.48 Median $16.98 Typical High $36.31 | Facility | None | $11.48 | $16.98 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $11.48 Typical High $12.30 | Professional | None | $10.00 | $11.48 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $28.84 Median $30.20 Typical High $45.71 | Facility | None | $28.84 | $30.20 | $45.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $14.79 Typical High $26.30 | Facility | None | $8.13 | $14.79 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $30.20 Typical High $39.81 | Professional | None | $7.41 | $30.20 | $39.81 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $19.05 Typical High $31.62 | Facility | None | $10.00 | $19.05 | $31.62 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $19.95 | Professional | None | $4.79 | $6.92 | $19.95 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $11.48 | Facility | None | $6.92 | $6.92 | $11.48 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $23.99 | Professional | None | $4.79 | $6.92 | $23.99 |
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 $5.01 Median $5.75 Typical High $6.17 | Professional | 52 · Reduced service | $5.01 | $5.75 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.29 Typical High $2.45 | Professional | 53 · Discontinued | $2.00 | $2.29 | $2.45 |
Where Kansas sits
The same service costs 5.2 times more in Minnesota than in Maryland. 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· 4th of 51
$28.84
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.