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 $16.22 Median $51.29 Typical High $57.54 | Facility | None | $16.22 | $51.29 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $17.38 | Professional | None | $12.30 | $16.22 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $28.18 Median $29.51 Typical High $44.67 | Facility | None | $28.18 | $29.51 | $44.67 |
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 $11.48 Median $20.89 Typical High $37.15 | Facility | None | $11.48 | $20.89 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $41.69 Typical High $41.69 | Professional | None | $10.00 | $41.69 | $41.69 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $26.92 Typical High $79.43 | Facility | None | $14.79 | $26.92 | $79.43 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $9.77 Typical High $30.90 | Professional | None | $6.92 | $9.77 | $30.90 |
United Setting Facility Modifier None Typical Low $9.77 Median $16.22 Typical High $60.26 | Facility | None | $9.77 | $16.22 | $60.26 |
United Setting Professional Modifier None Typical Low $6.92 Median $9.77 Typical High $33.88 | Professional | None | $6.92 | $9.77 | $33.88 |
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 $7.08 Median $8.13 Typical High $8.71 | Professional | 52 · Reduced service | $7.08 | $8.13 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.24 Typical High $3.47 | Professional | 53 · Discontinued | $2.82 | $3.24 | $3.47 |
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· 2nd of 51
$28.18
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.