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 $32.36 Median $40.74 Typical High $60.26 | Facility | None | $32.36 | $40.74 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $46.77 | Professional | None | $30.20 | $35.48 | $46.77 |
BCBS Kansas Setting Facility Modifier None Typical Low $47.86 Median $51.29 Typical High $75.86 | Facility | None | $47.86 | $51.29 | $75.86 |
BCBS Kansas Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $57.54 Typical High $194.98 | Facility | None | $31.62 | $57.54 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $85.11 Typical High $85.11 | Professional | None | $21.38 | $85.11 | $85.11 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $95.50 | Facility | None | $35.48 | $54.95 | $95.50 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $288.40 | Professional | None | $35.48 | $38.90 | $288.40 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $35.48 | Facility | None | $20.89 | $20.89 | $35.48 |
United Setting Professional Modifier None Typical Low $20.89 Median $35.48 Typical High $72.44 | Professional | None | $20.89 | $35.48 | $72.44 |
3 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 $15.14 Median $17.38 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $7.08 | $7.41 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | QW · Waived lab test | $16.22 | $16.22 | $16.22 |
Where Kansas sits
The same service costs 3.4 times more in Minnesota 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· 14th of 51
$47.86
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.