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 $5.37 Median $9.77 Typical High $14.79 | Facility | None | $5.37 | $9.77 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $5.50 Typical High $5.75 | Professional | None | $4.07 | $5.50 | $5.75 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.46 Median $6.92 Typical High $10.23 | Facility | None | $6.46 | $6.92 | $10.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $6.17 Typical High $12.59 | Facility | None | $3.63 | $6.17 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $12.30 Typical High $12.88 | Professional | None | $2.88 | $12.30 | $12.88 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $7.76 Typical High $12.88 | Facility | None | $4.27 | $7.76 | $12.88 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $3.31 Typical High $9.77 | Professional | None | $2.29 | $3.31 | $9.77 |
United Setting Facility Modifier None Typical Low $3.31 Median $3.31 Typical High $5.50 | Facility | None | $3.31 | $3.31 | $5.50 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.31 Typical High $11.48 | Professional | None | $2.29 | $3.31 | $11.48 |
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 $2.34 Median $2.75 Typical High $2.88 | Professional | 52 · Reduced service | $2.34 | $2.75 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.10 Typical High $1.15 | Professional | 53 · Discontinued | $0.93 | $1.10 | $1.15 |
Where Kansas sits
The same service costs 3.3 times more in Alaska than in Nebraska. 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· 10th of 51
$6.76
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.