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 $4.57 Median $6.17 Typical High $14.45 | Facility | None | $4.57 | $6.17 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $5.01 | Professional | None | $4.07 | $4.79 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $2.24 Median $2.75 Typical High $2.95 | Professional | None | $2.24 | $2.75 | $2.95 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.31 Median $6.61 Typical High $9.77 | Facility | None | $6.31 | $6.61 | $9.77 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $5.89 Typical High $10.72 | Facility | None | $3.24 | $5.89 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $10.96 Typical High $10.96 | Professional | None | $2.88 | $10.96 | $10.96 |
Medica Setting Facility Modifier None Typical Low $4.17 Median $7.59 Typical High $12.59 | Facility | None | $4.17 | $7.59 | $12.59 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $2.88 Typical High $7.94 | Professional | None | $2.09 | $2.88 | $7.94 |
United Setting Facility Modifier None Typical Low $1.38 Median $2.88 Typical High $10.47 | Facility | None | $1.38 | $2.88 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.88 Typical High $10.00 | Professional | None | $2.00 | $2.88 | $10.00 |
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 $2.04 Median $2.40 Typical High $2.51 | Professional | 52 · Reduced service | $2.04 | $2.40 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.95 Typical High $1.00 | Professional | 53 · Discontinued | $0.81 | $0.95 | $1.00 |
Where Kansas sits
The same service costs 8.7 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· 12th of 51
$6.31
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.