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 $3.55 Median $5.62 Typical High $11.22 | Facility | None | $3.55 | $5.62 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.80 Typical High $4.07 | Professional | None | $2.82 | $3.80 | $4.07 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
BCBS Kansas Setting Facility Modifier None Typical Low $5.01 Median $7.08 Typical High $7.59 | Facility | None | $5.01 | $7.08 | $7.59 |
BCBS Kansas Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $4.47 Typical High $8.71 | Facility | None | $2.51 | $4.47 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $7.94 Typical High $7.94 | Professional | None | $1.86 | $7.94 | $7.94 |
Medica Setting Facility Modifier None Typical Low $3.09 Median $5.62 Typical High $52.48 | Facility | None | $3.09 | $5.62 | $52.48 |
Medica Setting Professional Modifier None Typical Low $1.58 Median $2.29 Typical High $7.08 | Professional | None | $1.58 | $2.29 | $7.08 |
United Setting Facility Modifier None Typical Low $2.29 Median $3.80 Typical High $7.59 | Facility | None | $2.29 | $3.80 | $7.59 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.29 Typical High $7.94 | Professional | None | $1.58 | $2.29 | $7.94 |
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 $1.62 Median $1.91 Typical High $2.04 | Professional | 52 · Reduced service | $1.62 | $1.91 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.76 Typical High $0.81 | Professional | 53 · Discontinued | $0.65 | $0.76 | $0.81 |
Where Kansas sits
The same service costs 11.7 times more in Minnesota 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· 12th of 51
$5.01
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.