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 $19.05 Median $60.26 Typical High $61.66 | Facility | None | $19.05 | $60.26 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $19.95 | Professional | None | $14.13 | $19.05 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
BCBS Kansas Setting Facility Modifier None Typical Low $43.65 Median $46.77 Typical High $69.18 | Facility | None | $43.65 | $46.77 | $69.18 |
BCBS Kansas Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $24.55 Typical High $43.65 | Facility | None | $13.18 | $24.55 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $48.98 Typical High $50.12 | Professional | None | $11.75 | $48.98 | $50.12 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $31.62 Typical High $87.10 | Facility | None | $16.98 | $31.62 | $87.10 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $35.48 | Professional | None | $7.94 | $11.48 | $35.48 |
United Setting Facility Modifier None Typical Low $11.48 Median $19.05 Typical High $60.26 | Facility | None | $11.48 | $19.05 | $60.26 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $39.81 | Professional | None | $7.94 | $11.48 | $39.81 |
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 $8.13 Median $9.55 Typical High $10.00 | Professional | 52 · Reduced service | $8.13 | $9.55 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.80 Typical High $4.07 | Professional | 53 · Discontinued | $3.24 | $3.80 | $4.07 |
Where Kansas sits
The same service costs 5.5 times more in Kansas 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· 1st of 51
$43.65
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.