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 $9.12 Median $15.49 Typical High $30.20 | Facility | None | $9.12 | $15.49 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $11.22 | Professional | None | $8.71 | $10.47 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $12.30 Typical High $23.99 | Facility | None | $6.92 | $12.30 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $21.88 Typical High $22.91 | Professional | None | $5.89 | $21.88 | $22.91 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $15.85 Typical High $25.70 | Facility | None | $8.71 | $15.85 | $25.70 |
Medica Setting Professional Modifier None Typical Low $4.37 Median $6.31 Typical High $16.98 | Professional | None | $4.37 | $6.31 | $16.98 |
United Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $10.47 | Facility | None | $6.31 | $6.31 | $10.47 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.31 Typical High $21.88 | Professional | None | $4.37 | $6.31 | $21.88 |
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 $4.47 Median $5.25 Typical High $5.62 | Professional | 52 · Reduced service | $4.47 | $5.25 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.09 Typical High $2.24 | Professional | 53 · Discontinued | $1.82 | $2.09 | $2.24 |
Where Kansas sits
The same service costs 5.6 times more in Minnesota than in New Jersey. 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· 3rd of 51
$22.91
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.