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 $9.77 Median $22.91 Typical High $24.55 | Facility | None | $9.77 | $22.91 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $10.72 | Professional | None | $7.59 | $10.23 | $10.72 |
BCBS Kansas Setting Facility Modifier None Typical Low $12.30 Median $12.88 Typical High $19.05 | Facility | None | $12.30 | $12.88 | $19.05 |
BCBS Kansas Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $13.18 Typical High $23.44 | Facility | None | $7.08 | $13.18 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $19.05 Typical High $19.05 | Professional | None | $6.31 | $19.05 | $19.05 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $12.88 Typical High $33.88 | Facility | None | $8.91 | $12.88 | $33.88 |
Medica Setting Professional Modifier None Typical Low $4.27 Median $6.17 Typical High $19.05 | Professional | None | $4.27 | $6.17 | $19.05 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $10.23 | Facility | None | $6.17 | $6.17 | $10.23 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.17 Typical High $20.89 | Professional | None | $4.27 | $6.17 | $20.89 |
3 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 $4.37 Median $5.13 Typical High $5.37 | Professional | 52 · Reduced service | $4.37 | $5.13 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $2.04 Typical High $2.14 | Professional | 53 · Discontinued | $1.74 | $2.04 | $2.14 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 59 · Distinct service | $6.31 | $6.31 | $6.31 |
Where Kansas sits
The same service costs 3.0 times more in Alaska 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· 11th of 51
$12.59
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.