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 $27.54 Typical High $47.86 | Facility | None | $15.14 | $27.54 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $15.85 | Professional | None | $11.22 | $15.14 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $50.12 Median $53.70 Typical High $79.43 | Facility | None | $50.12 | $53.70 | $79.43 |
BCBS Kansas Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $19.50 Typical High $33.88 | Facility | None | $10.47 | $19.50 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $38.90 Typical High $60.26 | Professional | None | $9.33 | $38.90 | $60.26 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $24.55 Typical High $40.74 | Facility | None | $13.18 | $24.55 | $40.74 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $28.18 | Professional | None | $6.31 | $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 $6.31 Median $9.12 Typical High $31.62 | Professional | None | $6.31 | $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 $6.46 Median $7.59 Typical High $7.94 | Professional | 52 · Reduced service | $6.46 | $7.59 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $3.02 Typical High $3.16 | Professional | 53 · Discontinued | $2.57 | $3.02 | $3.16 |
Where Kansas sits
The same service costs 4.3 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
$47.86
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.