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 $4.17 Median $9.77 Typical High $12.02 | Facility | None | $4.17 | $9.77 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $4.27 Typical High $4.57 | Professional | None | $3.24 | $4.27 | $4.57 |
Ambetter Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
BCBS Kansas Setting Facility Modifier None Typical Low $11.48 Median $12.02 Typical High $18.20 | Facility | None | $11.48 | $12.02 | $18.20 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $5.50 Typical High $10.00 | Facility | None | $2.95 | $5.50 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $10.96 Typical High $14.13 | Professional | None | $2.57 | $10.96 | $14.13 |
Medica Setting Facility Modifier None Typical Low $3.80 Median $6.31 Typical High $11.48 | Facility | None | $3.80 | $6.31 | $11.48 |
Medica Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $7.94 | Professional | None | $2.57 | $4.27 | $7.94 |
United Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $4.27 | Facility | None | $2.57 | $2.57 | $4.27 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $8.91 | Professional | None | $2.57 | $4.27 | $8.91 |
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 $1.82 Median $2.14 Typical High $2.29 | Professional | 52 · Reduced service | $1.82 | $2.14 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.85 Typical High $0.91 | Professional | 53 · Discontinued | $0.72 | $0.85 | $0.91 |
Where Kansas sits
The same service costs 3.2 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
$11.22
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.