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 $7.94 Median $14.13 Typical High $25.70 | Facility | None | $7.94 | $14.13 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $8.13 Typical High $8.71 | Professional | None | $6.17 | $8.13 | $8.71 |
Ambetter Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.75 | Professional | None | $5.01 | $5.01 | $5.75 |
BCBS Kansas Setting Facility Modifier None Typical Low $11.22 Median $11.75 Typical High $17.38 | Facility | None | $11.22 | $11.75 | $17.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $10.47 Typical High $18.62 | Facility | None | $5.75 | $10.47 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $19.95 Typical High $19.95 | Professional | None | $5.25 | $19.95 | $19.95 |
Medica Setting Facility Modifier None Typical Low $7.41 Median $13.49 Typical High $22.39 | Facility | None | $7.41 | $13.49 | $22.39 |
Medica Setting Professional Modifier None Typical Low $3.47 Median $4.90 Typical High $15.49 | Professional | None | $3.47 | $4.90 | $15.49 |
United Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $8.13 | Facility | None | $4.90 | $4.90 | $8.13 |
United Setting Professional Modifier None Typical Low $3.47 Median $4.90 Typical High $16.98 | Professional | None | $3.47 | $4.90 | $16.98 |
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 $3.55 Median $4.07 Typical High $4.37 | Professional | 52 · Reduced service | $3.55 | $4.07 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.62 Typical High $1.74 | Professional | 53 · Discontinued | $1.41 | $1.62 | $1.74 |
Where Kansas sits
The same service costs 3.0 times more in Alaska 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· 10th 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.