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 $5.62 Median $8.91 Typical High $19.05 | Facility | None | $5.62 | $8.91 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $6.03 Typical High $6.31 | Professional | None | $4.17 | $6.03 | $6.31 |
Ambetter Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $4.17 | Professional | None | $3.72 | $3.72 | $4.17 |
BCBS Kansas Setting Facility Modifier None Typical Low $14.13 Median $15.14 Typical High $22.39 | Facility | None | $14.13 | $15.14 | $22.39 |
BCBS Kansas Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $7.59 Typical High $13.80 | Facility | None | $4.17 | $7.59 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $13.80 Typical High $16.98 | Professional | None | $3.63 | $13.80 | $16.98 |
Medica Setting Facility Modifier None Typical Low $5.25 Median $10.00 Typical High $100.00 | Facility | None | $5.25 | $10.00 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $3.63 Typical High $9.55 | Professional | None | $2.51 | $3.63 | $9.55 |
United Setting Facility Modifier None Typical Low $2.00 Median $3.63 Typical High $15.14 | Facility | None | $2.00 | $3.63 | $15.14 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.63 Typical High $12.59 | Professional | None | $2.51 | $3.63 | $12.59 |
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 $2.57 Median $3.02 Typical High $3.16 | Professional | 52 · Reduced service | $2.57 | $3.02 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.20 Typical High $1.26 | Professional | 53 · Discontinued | $1.02 | $1.20 | $1.26 |
Where Kansas sits
The same service costs 14.5 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· 5th of 51
$14.13
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.