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 $3.80 Median $6.92 Typical High $12.02 | Facility | None | $3.80 | $6.92 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $3.80 Typical High $4.07 | Professional | None | $2.88 | $3.80 | $4.07 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
BCBS Kansas Setting Facility Modifier None Typical Low $26.92 Median $28.84 Typical High $42.66 | Facility | None | $26.92 | $28.84 | $42.66 |
BCBS Kansas Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $4.79 Typical High $8.71 | Facility | None | $2.69 | $4.79 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $10.23 Typical High $32.36 | Professional | None | $2.29 | $10.23 | $32.36 |
Medica Setting Facility Modifier None Typical Low $3.47 Median $6.31 Typical High $85.11 | Facility | None | $3.47 | $6.31 | $85.11 |
Medica Setting Professional Modifier None Typical Low $1.62 Median $2.29 Typical High $7.08 | Professional | None | $1.62 | $2.29 | $7.08 |
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 $1.62 Median $2.29 Typical High $7.94 | Professional | None | $1.62 | $2.29 | $7.94 |
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 $1.66 Median $1.91 Typical High $2.04 | Professional | 52 · Reduced service | $1.66 | $1.91 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.78 Typical High $0.81 | Professional | 53 · Discontinued | $0.66 | $0.78 | $0.81 |
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
$12.02
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.