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 $15.14 Median $26.92 Typical High $48.98 | Facility | None | $15.14 | $26.92 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $15.49 Typical High $16.60 | Professional | None | $11.75 | $15.49 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $10.72 | Professional | None | $9.55 | $9.55 | $10.72 |
BCBS Kansas Setting Facility Modifier None Typical Low $63.10 Median $67.61 Typical High $100.00 | Facility | None | $63.10 | $67.61 | $100.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $19.95 Typical High $35.48 | Facility | None | $10.96 | $19.95 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $39.81 Typical High $75.86 | Professional | None | $9.55 | $39.81 | $75.86 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $25.70 Typical High $42.66 | Facility | None | $13.49 | $25.70 | $42.66 |
Medica Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $31.62 | Professional | None | $6.61 | $9.33 | $31.62 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $15.49 | Facility | None | $9.33 | $9.33 | $15.49 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $32.36 | Professional | None | $6.61 | $9.33 | $32.36 |
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 $6.76 Median $7.76 Typical High $8.32 | Professional | 52 · Reduced service | $6.76 | $7.76 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.09 Typical High $3.31 | Professional | 53 · Discontinued | $2.69 | $3.09 | $3.31 |
Where Kansas sits
The same service costs 4.2 times more in Kansas 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· 1st of 51
$48.98
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.