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 $13.18 Median $24.55 Typical High $53.70 | Facility | None | $13.18 | $24.55 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $14.13 | Professional | None | $10.00 | $13.18 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $44.67 Median $47.86 Typical High $70.79 | Facility | None | $44.67 | $47.86 | $70.79 |
BCBS Kansas Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $16.98 Typical High $30.20 | Facility | None | $9.33 | $16.98 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $33.88 Typical High $53.70 | Professional | None | $8.13 | $33.88 | $53.70 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $21.88 Typical High $36.31 | Facility | None | $11.48 | $21.88 | $36.31 |
Medica Setting Professional Modifier None Typical Low $5.62 Median $7.94 Typical High $24.55 | Professional | None | $5.62 | $7.94 | $24.55 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $13.18 | Facility | None | $7.94 | $7.94 | $13.18 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.94 Typical High $27.54 | Professional | None | $5.62 | $7.94 | $27.54 |
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 $5.75 Median $6.61 Typical High $7.08 | Professional | 52 · Reduced service | $5.75 | $6.61 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.63 Typical High $2.82 | Professional | 53 · Discontinued | $2.29 | $2.63 | $2.82 |
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
$41.69
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.