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 $7.41 Median $13.80 Typical High $24.55 | Facility | None | $7.41 | $13.80 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.76 Typical High $8.13 | Professional | None | $6.61 | $7.76 | $8.13 |
Ambetter Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
BCBS Kansas Setting Facility Modifier None Typical Low $15.14 Median $16.22 Typical High $23.99 | Facility | None | $15.14 | $16.22 | $23.99 |
BCBS Kansas Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $10.00 Typical High $17.78 | Facility | None | $5.37 | $10.00 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $19.95 Typical High $19.95 | Professional | None | $4.68 | $19.95 | $19.95 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $12.59 Typical High $63.10 | Facility | None | $6.76 | $12.59 | $63.10 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $14.45 | Professional | None | $3.24 | $4.68 | $14.45 |
United Setting Facility Modifier None Typical Low $4.68 Median $7.76 Typical High $15.14 | Facility | None | $4.68 | $7.76 | $15.14 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $16.22 | Professional | None | $3.24 | $4.68 | $16.22 |
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 $3.31 Median $3.89 Typical High $4.07 | Professional | 52 · Reduced service | $3.31 | $3.89 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.55 Typical High $1.62 | Professional | 53 · Discontinued | $1.32 | $1.55 | $1.62 |
Where Kansas sits
The same service costs 3.2 times more in Alaska 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· 2nd of 51
$15.14
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.