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 $14.45 Median $26.92 Typical High $26.92 | Facility | None | $14.45 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $15.49 | Professional | None | $10.00 | $14.45 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $8.91 Typical High $9.12 | Professional | None | $4.79 | $8.91 | $9.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $22.91 Median $24.55 Typical High $36.31 | Facility | None | $22.91 | $24.55 | $36.31 |
BCBS Kansas Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $15.14 Typical High $33.11 | Facility | None | $9.55 | $15.14 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $21.88 Typical High $26.92 | Professional | None | $5.62 | $21.88 | $26.92 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $14.13 Typical High $33.88 | Facility | None | $10.47 | $14.13 | $33.88 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $20.89 | Professional | None | $6.03 | $8.71 | $20.89 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $14.45 | Facility | None | $8.71 | $8.71 | $14.45 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $20.89 | Professional | None | $6.03 | $8.71 | $20.89 |
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 $6.17 Median $7.24 Typical High $7.59 | Professional | 52 · Reduced service | $6.17 | $7.24 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.88 Typical High $3.09 | Professional | 53 · Discontinued | $2.51 | $2.88 | $3.09 |
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
$22.91
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.