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 $12.02 Median $21.88 Typical High $38.02 | Facility | None | $12.02 | $21.88 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $12.02 Typical High $12.59 | Professional | None | $8.91 | $12.02 | $12.59 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.90 Median $40.74 Typical High $60.26 | Facility | None | $38.90 | $40.74 | $60.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $15.49 Typical High $27.54 | Facility | None | $8.32 | $15.49 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $31.62 Typical High $40.74 | Professional | None | $7.24 | $31.62 | $40.74 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $19.95 Typical High $32.36 | Facility | None | $10.72 | $19.95 | $32.36 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $22.39 | Professional | None | $5.01 | $7.24 | $22.39 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $12.02 | Facility | None | $7.24 | $7.24 | $12.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $25.12 | Professional | None | $5.01 | $7.24 | $25.12 |
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 $5.13 Median $6.03 Typical High $6.31 | Professional | 52 · Reduced service | $5.13 | $6.03 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.40 Typical High $2.51 | Professional | 53 · Discontinued | $2.04 | $2.40 | $2.51 |
Where Kansas sits
The same service costs 4.5 times more in Kansas than in New Jersey. 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
$38.02
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.