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 $19.50 Median $36.31 Typical High $64.57 | Facility | None | $19.50 | $36.31 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $22.39 | Professional | None | $15.85 | $21.38 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $14.79 | Professional | None | $12.88 | $12.88 | $14.79 |
BCBS Kansas Setting Facility Modifier None Typical Low $75.86 Median $81.28 Typical High $120.23 | Facility | None | $75.86 | $81.28 | $120.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $27.54 Typical High $48.98 | Facility | None | $14.79 | $27.54 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $54.95 Typical High $91.20 | Professional | None | $13.18 | $54.95 | $91.20 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $33.88 Typical High $125.89 | Facility | None | $19.05 | $33.88 | $125.89 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $39.81 | Professional | None | $8.91 | $12.88 | $39.81 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $21.38 | Facility | None | $12.88 | $12.88 | $21.38 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $44.67 | Professional | None | $8.91 | $12.88 | $44.67 |
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 $9.12 Median $10.72 Typical High $11.22 | Professional | 52 · Reduced service | $9.12 | $10.72 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.27 Typical High $4.47 | Professional | 53 · Discontinued | $3.63 | $4.27 | $4.47 |
Where Kansas sits
The same service costs 4.1 times more in Kansas 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· 1st of 51
$64.57
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.