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 $19.95 Median $35.48 Typical High $61.66 | Facility | None | $19.95 | $35.48 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $20.89 | Professional | None | $14.79 | $19.95 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $74.13 | Facility | None | $46.77 | $50.12 | $74.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $25.12 Typical High $44.67 | Facility | None | $13.80 | $25.12 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $51.29 Typical High $52.48 | Professional | None | $12.30 | $51.29 | $52.48 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $32.36 Typical High $53.70 | Facility | None | $17.78 | $32.36 | $53.70 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $37.15 | Professional | None | $8.32 | $11.75 | $37.15 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $19.95 | Facility | None | $11.75 | $11.75 | $19.95 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $40.74 | Professional | None | $8.32 | $11.75 | $40.74 |
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 $8.51 Median $9.77 Typical High $10.47 | Professional | 52 · Reduced service | $8.51 | $9.77 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.98 Typical High $4.17 | Professional | 53 · Discontinued | $3.39 | $3.98 | $4.17 |
Where Kansas sits
The same service costs 4.5 times more in Kansas than in Alabama. 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
$46.77
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.