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 $4.17 Median $5.13 Typical High $13.18 | Facility | None | $4.17 | $5.13 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $4.27 Typical High $5.13 | Professional | None | $3.24 | $4.27 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.75 | Professional | None | $2.14 | $2.14 | $2.75 |
BCBS Kansas Setting Facility Modifier None Typical Low $10.23 Median $10.72 Typical High $16.22 | Facility | None | $10.23 | $10.72 | $16.22 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $5.01 Typical High $10.00 | Facility | None | $2.95 | $5.01 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $9.12 Typical High $12.02 | Professional | None | $2.51 | $9.12 | $12.02 |
Medica Setting Facility Modifier None Typical Low $3.55 Median $6.46 Typical High $72.44 | Facility | None | $3.55 | $6.46 | $72.44 |
Medica Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $7.94 | Professional | None | $2.57 | $4.27 | $7.94 |
United Setting Facility Modifier None Typical Low $1.26 Median $2.57 Typical High $10.47 | Facility | None | $1.26 | $2.57 | $10.47 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $8.91 | Professional | None | $2.57 | $4.27 | $8.91 |
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 $1.86 Median $2.14 Typical High $2.29 | Professional | 52 · Reduced service | $1.86 | $2.14 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.85 Typical High $0.91 | Professional | 53 · Discontinued | $0.74 | $0.85 | $0.91 |
Where Kansas sits
The same service costs 14.8 times more in Minnesota than in Maryland. 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· 9th of 51
$9.55
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.