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 $2.95 Median $4.07 Typical High $9.55 | Facility | None | $2.95 | $4.07 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $3.02 Typical High $3.24 | Professional | None | $2.63 | $3.02 | $3.24 |
Ambetter Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $2.14 | Professional | None | $1.86 | $1.86 | $2.14 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.17 Median $6.61 Typical High $9.77 | Facility | None | $6.17 | $6.61 | $9.77 |
BCBS Kansas Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $2.14 Median $3.89 Typical High $6.92 | Facility | None | $2.14 | $3.89 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $7.08 Typical High $7.08 | Professional | None | $1.82 | $7.08 | $7.08 |
Medica Setting Facility Modifier None Typical Low $2.75 Median $5.01 Typical High $7.76 | Facility | None | $2.75 | $5.01 | $7.76 |
Medica Setting Professional Modifier None Typical Low $1.82 Median $3.02 Typical High $5.75 | Professional | None | $1.82 | $3.02 | $5.75 |
United Setting Facility Modifier None Typical Low $1.82 Median $3.02 Typical High $7.59 | Facility | None | $1.82 | $3.02 | $7.59 |
United Setting Professional Modifier None Typical Low $1.82 Median $3.02 Typical High $6.31 | Professional | None | $1.82 | $3.02 | $6.31 |
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 $1.32 Median $1.51 Typical High $1.62 | Professional | 52 · Reduced service | $1.32 | $1.51 | $1.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.62 Typical High $0.65 | Professional | 53 · Discontinued | $0.52 | $0.62 | $0.65 |
Where Kansas sits
The same service costs 13.5 times more in Vermont than in Washington, DC. 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· 3rd of 51
$6.17
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.