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 $35.48 Median $64.57 Typical High $112.20 | Facility | None | $35.48 | $64.57 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $37.15 | Professional | None | $26.30 | $35.48 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $60.26 Median $63.10 Typical High $93.33 | Facility | None | $60.26 | $63.10 | $93.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $45.71 Typical High $81.28 | Facility | None | $24.55 | $45.71 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $85.11 Typical High $85.11 | Professional | None | $21.88 | $85.11 | $85.11 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $57.54 Typical High $75.86 | Facility | None | $29.51 | $57.54 | $75.86 |
Medica Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $66.07 | Professional | None | $14.79 | $21.38 | $66.07 |
United Setting Facility Modifier None Typical Low $21.38 Median $35.48 Typical High $48.98 | Facility | None | $21.38 | $35.48 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $74.13 | Professional | None | $14.79 | $21.38 | $74.13 |
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 $15.14 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $7.08 | $7.41 |
Where Kansas sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$60.26
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.