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 $14.79 Median $26.92 Typical High $46.77 | Facility | None | $14.79 | $26.92 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $15.85 | Professional | None | $12.59 | $14.79 | $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 $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 $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $19.05 Typical High $33.88 | Facility | None | $10.23 | $19.05 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $38.02 Typical High $53.70 | Professional | None | $9.12 | $38.02 | $53.70 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $24.55 Typical High $39.81 | Facility | None | $13.18 | $24.55 | $39.81 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $8.91 Typical High $27.54 | Professional | None | $6.17 | $8.91 | $27.54 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $14.79 | Facility | None | $8.91 | $8.91 | $14.79 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.91 Typical High $30.90 | Professional | None | $6.17 | $8.91 | $30.90 |
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 $6.31 Median $7.41 Typical High $7.76 | Professional | 52 · Reduced service | $6.31 | $7.41 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.95 Typical High $3.16 | Professional | 53 · Discontinued | $2.51 | $2.95 | $3.16 |
Where Kansas sits
The same service costs 4.0 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
$44.67
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.