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 $26.92 Median $47.86 Typical High $53.70 | Facility | None | $26.92 | $47.86 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $26.92 Typical High $28.18 | Professional | None | $19.95 | $26.92 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | None | $16.60 | $16.60 | $18.62 |
BCBS Kansas Setting Facility Modifier None Typical Low $32.36 Median $34.67 Typical High $51.29 | Facility | None | $32.36 | $34.67 | $51.29 |
BCBS Kansas Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $34.67 Typical High $61.66 | Facility | None | $18.62 | $34.67 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $40.74 Typical High $44.67 | Professional | None | $16.60 | $40.74 | $44.67 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $28.18 Typical High $60.26 | Facility | None | $23.44 | $28.18 | $60.26 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $42.66 | Professional | None | $11.22 | $16.22 | $42.66 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $26.92 | Facility | None | $16.22 | $16.22 | $26.92 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $54.95 | Professional | None | $11.22 | $16.22 | $54.95 |
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 $11.48 Median $13.49 Typical High $14.13 | Professional | 52 · Reduced service | $11.48 | $13.49 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $4.57 | $5.37 | $5.62 |
Where Kansas sits
The same service costs 4.5 times more in South Carolina 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
$33.11
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.