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 $16.60 Median $26.30 Typical High $44.67 | Facility | None | $16.60 | $26.30 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $25.70 | Professional | None | $17.78 | $23.99 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $16.60 | Professional | None | $14.45 | $14.45 | $16.60 |
BCBS Kansas Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $35.48 | Facility | None | $33.11 | $33.11 | $35.48 |
BCBS Kansas Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $25.12 Typical High $134.90 | Facility | None | $19.50 | $25.12 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $31.62 | Professional | None | $12.88 | $12.88 | $31.62 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $23.99 Typical High $46.77 | Facility | None | $18.62 | $23.99 | $46.77 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $44.67 | Professional | None | $10.00 | $14.45 | $44.67 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $23.99 | Facility | None | $14.45 | $14.45 | $23.99 |
United Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $50.12 | Professional | None | $10.00 | $14.45 | $50.12 |
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 $10.47 Median $12.02 Typical High $12.88 | Professional | 52 · Reduced service | $10.47 | $12.02 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.79 Typical High $5.13 | Professional | 53 · Discontinued | $4.17 | $4.79 | $5.13 |
Where Kansas sits
The same service costs 3.6 times more in Hawaii 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· 5th of 51
$33.11
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.