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 $14.13 Typical High $16.60 | Facility | None | $5.62 | $14.13 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $8.32 | Professional | None | $5.37 | $7.76 | $8.32 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
BCBS Kansas Setting Facility Modifier None Typical Low $9.55 Median $10.00 Typical High $15.14 | Facility | None | $9.55 | $10.00 | $15.14 |
BCBS Kansas Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $8.51 Typical High $17.78 | Facility | None | $5.13 | $8.51 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $12.88 Typical High $12.88 | Professional | None | $3.39 | $12.88 | $12.88 |
Medica Setting Facility Modifier None Typical Low $5.75 Median $8.51 Typical High $14.13 | Facility | None | $5.75 | $8.51 | $14.13 |
Medica Setting Professional Modifier None Typical Low $3.31 Median $4.68 Typical High $12.59 | Professional | None | $3.31 | $4.68 | $12.59 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $7.76 | Facility | None | $4.68 | $4.68 | $7.76 |
United Setting Professional Modifier None Typical Low $3.31 Median $4.68 Typical High $12.59 | Professional | None | $3.31 | $4.68 | $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 $3.39 Median $3.89 Typical High $4.17 | Professional | 52 · Reduced service | $3.39 | $3.89 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.55 Typical High $1.66 | Professional | 53 · Discontinued | $1.35 | $1.55 | $1.66 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 8th of 51
$9.77
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.