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 $30.20 Median $56.23 Typical High $97.72 | Facility | None | $30.20 | $56.23 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $33.11 | Professional | None | $23.44 | $30.90 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $21.38 | Professional | None | $19.05 | $19.05 | $21.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $77.62 Median $83.18 Typical High $123.03 | Facility | None | $77.62 | $83.18 | $123.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $39.81 Typical High $70.79 | Facility | None | $21.88 | $39.81 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $81.28 Typical High $93.33 | Professional | None | $19.05 | $81.28 | $93.33 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $51.29 Typical High $83.18 | Facility | None | $26.92 | $51.29 | $83.18 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $57.54 | Professional | None | $12.88 | $18.62 | $57.54 |
United Setting Facility Modifier None Typical Low $18.62 Median $30.90 Typical High $104.71 | Facility | None | $18.62 | $30.90 | $104.71 |
United Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $64.57 | Professional | None | $12.88 | $18.62 | $64.57 |
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 $13.18 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $13.18 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.17 Typical High $6.61 | Professional | 53 · Discontinued | $5.37 | $6.17 | $6.61 |
Where Kansas sits
The same service costs 4.2 times more in Kansas than in Alabama. 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· 1st of 51
$77.62
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.