How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $7.59 Median $14.79 Typical High $30.20 | Facility | None | $7.59 | $14.79 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $13.80 Typical High $17.78 | Professional | None | $7.59 | $13.80 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $5.50 Typical High $8.91 | Professional | 52 · Reduced service | $3.80 | $5.50 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $18.20 | Professional | None | $14.79 | $16.60 | $18.20 |
BCBS Kansas Setting Professional Modifier None Typical Low $11.48 Median $13.49 Typical High $27.54 | Professional | None | $11.48 | $13.49 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $17.38 Typical High $50.12 | Facility | None | $8.71 | $17.38 | $50.12 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $66.07 Typical High $114.82 | Professional | None | $21.88 | $66.07 | $114.82 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $69.18 | Facility | None | $43.65 | $43.65 | $69.18 |
United Setting Professional Modifier None Typical Low $10.72 Median $18.62 Typical High $24.55 | Professional | None | $10.72 | $18.62 | $24.55 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $14.79 Median $16.98 Typical High $26.92 | Professional | 59 · Distinct service | $14.79 | $16.98 | $26.92 |
Where Kansas sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 7th of 51
$19.95
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.