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 $28.18 Typical High $47.86 | Facility | None | $15.14 | $28.18 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $15.14 Typical High $16.22 | Professional | None | $11.48 | $15.14 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $25.12 Median $26.30 Typical High $39.81 | Facility | None | $25.12 | $26.30 | $39.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $19.50 Typical High $34.67 | Facility | None | $10.72 | $19.50 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $37.15 Typical High $37.15 | Professional | None | $9.33 | $37.15 | $37.15 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $25.12 Typical High $41.69 | Facility | None | $13.80 | $25.12 | $41.69 |
Medica Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $28.18 | Professional | None | $6.46 | $9.12 | $28.18 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $15.14 | Facility | None | $9.12 | $9.12 | $15.14 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $31.62 | Professional | None | $6.46 | $9.12 | $31.62 |
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 $6.61 Median $7.59 Typical High $8.13 | Professional | 52 · Reduced service | $6.61 | $7.59 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.02 Typical High $3.24 | Professional | 53 · Discontinued | $2.63 | $3.02 | $3.24 |
Where Kansas sits
The same service costs 3.3 times more in South Carolina 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· 5th of 51
$25.12
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.