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 $9.33 Median $16.22 Typical High $29.51 | Facility | None | $9.33 | $16.22 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $9.33 Typical High $10.00 | Professional | None | $7.08 | $9.33 | $10.00 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.61 | Professional | None | $5.75 | $5.75 | $6.61 |
BCBS Kansas Setting Facility Modifier None Typical Low $18.62 Median $19.95 Typical High $29.51 | Facility | None | $18.62 | $19.95 | $29.51 |
BCBS Kansas Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $12.02 Typical High $21.38 | Facility | None | $6.61 | $12.02 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $22.91 Typical High $22.91 | Professional | None | $5.75 | $22.91 | $22.91 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $15.49 Typical High $25.70 | Facility | None | $8.51 | $15.49 | $25.70 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $5.62 Typical High $17.78 | Professional | None | $3.98 | $5.62 | $17.78 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $9.33 | Facility | None | $5.62 | $5.62 | $9.33 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.62 Typical High $19.50 | Professional | None | $3.98 | $5.62 | $19.50 |
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 $4.07 Median $4.68 Typical High $5.01 | Professional | 52 · Reduced service | $4.07 | $4.68 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.91 Typical High $2.00 | Professional | 53 · Discontinued | $1.62 | $1.91 | $2.00 |
Where Kansas sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 2nd of 51
$18.62
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.