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 $11.48 Median $14.79 Typical High $24.55 | Facility | None | $11.48 | $14.79 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $12.02 | Professional | None | $8.51 | $11.48 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.94 | Professional | None | $7.08 | $7.08 | $7.94 |
BCBS Kansas Setting Facility Modifier None Typical Low $33.11 Median $34.67 Typical High $51.29 | Facility | None | $33.11 | $34.67 | $51.29 |
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 $7.94 Median $14.79 Typical High $26.30 | Facility | None | $7.94 | $14.79 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $26.92 Typical High $26.92 | Professional | None | $7.08 | $26.92 | $26.92 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $10.47 Typical High $34.67 | Facility | None | $7.59 | $10.47 | $34.67 |
Medica Setting Professional Modifier None Typical Low $4.17 Median $6.92 Typical High $18.20 | Professional | None | $4.17 | $6.92 | $18.20 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $11.48 | Facility | None | $6.92 | $6.92 | $11.48 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.92 Typical High $23.99 | Professional | None | $4.17 | $6.92 | $23.99 |
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 $4.90 Median $5.75 Typical High $6.03 | Professional | 52 · Reduced service | $4.90 | $5.75 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.29 Typical High $2.45 | Professional | 53 · Discontinued | $1.95 | $2.29 | $2.45 |
Where Kansas sits
The same service costs 3.2 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
$26.92
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.