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 $14.13 Median $25.70 Typical High $40.74 | Facility | None | $14.13 | $25.70 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $15.49 | Professional | None | $10.96 | $14.45 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
BCBS Kansas Setting Facility Modifier None Typical Low $30.90 Median $32.36 Typical High $47.86 | Facility | None | $30.90 | $32.36 | $47.86 |
BCBS Kansas Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $16.60 Typical High $33.11 | Facility | None | $9.55 | $16.60 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $33.11 Typical High $34.67 | Professional | None | $7.94 | $33.11 | $34.67 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $21.38 Typical High $34.67 | Facility | None | $11.75 | $21.38 | $34.67 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $26.30 | Professional | None | $6.03 | $8.71 | $26.30 |
United Setting Facility Modifier None Typical Low $8.71 Median $14.45 Typical High $30.20 | Facility | None | $8.71 | $14.45 | $30.20 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $30.20 | Professional | None | $6.03 | $8.71 | $30.20 |
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 $6.17 Median $7.24 Typical High $7.59 | Professional | 52 · Reduced service | $6.17 | $7.24 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.88 Typical High $3.09 | Professional | 53 · Discontinued | $2.51 | $2.88 | $3.09 |
Where Kansas sits
The same service costs 3.2 times more in Alaska 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· 2nd 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.