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 $20.42 Median $37.15 Typical High $66.07 | Facility | None | $20.42 | $37.15 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $21.88 | Professional | None | $17.78 | $20.89 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | None | $12.88 | $12.88 | $14.45 |
BCBS Kansas Setting Facility Modifier None Typical Low $34.67 Median $36.31 Typical High $54.95 | Facility | None | $34.67 | $36.31 | $54.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $26.92 Typical High $47.86 | Facility | None | $14.45 | $26.92 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $50.12 Typical High $50.12 | Professional | None | $12.88 | $50.12 | $50.12 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $34.67 Typical High $56.23 | Facility | None | $18.20 | $34.67 | $56.23 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $12.59 Typical High $38.90 | Professional | None | $8.32 | $12.59 | $38.90 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $20.89 | Facility | None | $12.59 | $12.59 | $20.89 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.59 Typical High $43.65 | Professional | None | $8.32 | $12.59 | $43.65 |
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 $8.91 Median $10.47 Typical High $10.96 | Professional | 52 · Reduced service | $8.91 | $10.47 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.17 Typical High $4.37 | Professional | 53 · Discontinued | $3.55 | $4.17 | $4.37 |
Where Kansas sits
The same service costs 3.2 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· 5th of 51
$34.67
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.