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 $20.42 Median $20.42 Typical High $75.86 | Facility | None | $20.42 | $20.42 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $24.55 | Professional | None | $17.38 | $22.91 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $11.75 Median $12.30 Typical High $18.62 | Facility | None | $11.75 | $12.30 | $18.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $29.51 Typical High $52.48 | Facility | None | $15.85 | $29.51 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $58.88 Typical High $79.43 | Professional | None | $14.13 | $58.88 | $79.43 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $20.89 Typical High $107.15 | Facility | None | $10.47 | $20.89 | $107.15 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $42.66 | Professional | None | $9.55 | $13.80 | $42.66 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $22.91 | Facility | None | $13.80 | $13.80 | $22.91 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $47.86 | Professional | None | $9.55 | $13.80 | $47.86 |
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 $9.77 Median $11.48 Typical High $12.02 | Professional | 52 · Reduced service | $9.77 | $11.48 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.57 Typical High $4.90 | Professional | 53 · Discontinued | $3.98 | $4.57 | $4.90 |
Where Kansas sits
The same service costs 5.4 times more in Alaska 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· 47th of 51
$17.78
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.