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 $31.62 Median $50.12 Typical High $85.11 | Facility | None | $31.62 | $50.12 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $46.77 | Professional | None | $32.36 | $46.77 | $46.77 |
Ambetter Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $46.77 | Facility | None | $44.67 | $44.67 | $46.77 |
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 $17.78 Median $47.86 Typical High $102.33 | Facility | None | $17.78 | $47.86 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $60.26 | Professional | None | $24.55 | $24.55 | $60.26 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $39.81 Typical High $81.28 | Facility | None | $22.39 | $39.81 | $81.28 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $27.54 Typical High $39.81 | Professional | None | $11.75 | $27.54 | $39.81 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $46.77 | Facility | None | $27.54 | $27.54 | $46.77 |
United Setting Professional Modifier None Typical Low $11.75 Median $27.54 Typical High $54.95 | Professional | None | $11.75 | $27.54 | $54.95 |
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 $19.95 Median $23.44 Typical High $24.55 | Professional | 52 · Reduced service | $19.95 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.33 Typical High $9.77 | Professional | 53 · Discontinued | $7.94 | $9.33 | $9.77 |
Where Kansas sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 17th of 51
$44.67
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.