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 $29.51 Median $51.29 Typical High $93.33 | Facility | None | $29.51 | $51.29 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $29.51 Typical High $30.90 | Professional | None | $21.88 | $29.51 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.42 | Professional | None | $17.78 | $17.78 | $20.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $40.74 Median $43.65 Typical High $64.57 | Facility | None | $40.74 | $43.65 | $64.57 |
BCBS Kansas Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $38.02 Typical High $67.61 | Facility | None | $20.42 | $38.02 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $93.33 Typical High $93.33 | Professional | None | $24.55 | $93.33 | $93.33 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $47.86 Typical High $91.20 | Facility | None | $28.18 | $47.86 | $91.20 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $54.95 | Professional | None | $12.30 | $17.78 | $54.95 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $29.51 | Facility | None | $17.78 | $17.78 | $29.51 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $61.66 | Professional | None | $12.30 | $17.78 | $61.66 |
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 $12.59 Median $14.79 Typical High $15.49 | Professional | 52 · Reduced service | $12.59 | $14.79 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.89 Typical High $6.17 | Professional | 53 · Discontinued | $5.01 | $5.89 | $6.17 |
Where Kansas sits
The same service costs 4.4 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· 11th of 51
$40.74
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.