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 $17.78 Median $29.51 Typical High $50.12 | Facility | None | $17.78 | $29.51 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $29.51 | Professional | None | $24.55 | $27.54 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $46.77 | Professional | None | $27.54 | $27.54 | $46.77 |
BCBS Kansas Setting Facility Modifier None Typical Low $61.66 Median $64.57 Typical High $97.72 | Facility | None | $61.66 | $64.57 | $97.72 |
BCBS Kansas Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $30.90 Typical High $173.78 | Facility | None | $2.75 | $30.90 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $66.07 Typical High $66.07 | Professional | None | $13.49 | $66.07 | $66.07 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $38.02 Typical High $186.21 | Facility | None | $20.89 | $38.02 | $186.21 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $25.70 Typical High $45.71 | Professional | None | $17.38 | $25.70 | $45.71 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $660.69 | Facility | None | $416.87 | $416.87 | $660.69 |
United Setting Professional Modifier None Typical Low $17.38 Median $25.70 Typical High $47.86 | Professional | None | $17.38 | $25.70 | $47.86 |
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 $12.30 Median $13.80 Typical High $14.45 | Professional | 52 · Reduced service | $12.30 | $13.80 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.50 Typical High $5.89 | Professional | 53 · Discontinued | $5.01 | $5.50 | $5.89 |
Where Kansas sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 6th of 51
$63.10
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.