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 $4.90 Median $6.31 Typical High $15.49 | Facility | None | $4.90 | $6.31 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $4.90 Typical High $5.25 | Professional | None | $3.47 | $4.90 | $5.25 |
Ambetter Setting Professional Modifier None Typical Low $1.66 Median $2.95 Typical High $3.47 | Professional | None | $1.66 | $2.95 | $3.47 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.76 Median $7.08 Typical High $10.72 | Facility | None | $6.76 | $7.08 | $10.72 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $6.31 Typical High $11.48 | Facility | None | $3.47 | $6.31 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $12.02 Typical High $12.02 | Professional | None | $3.02 | $12.02 | $12.02 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $8.13 Typical High $28.18 | Facility | None | $4.47 | $8.13 | $28.18 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $2.95 Typical High $8.71 | Professional | None | $2.09 | $2.95 | $8.71 |
United Setting Facility Modifier None Typical Low $1.38 Median $2.95 Typical High $10.47 | Facility | None | $1.38 | $2.95 | $10.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.95 Typical High $10.23 | Professional | None | $2.09 | $2.95 | $10.23 |
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 $2.14 Median $2.45 Typical High $2.63 | Professional | 52 · Reduced service | $2.14 | $2.45 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $1.00 Typical High $1.05 | Professional | 53 · Discontinued | $0.85 | $1.00 | $1.05 |
Where Kansas sits
The same service costs 9.3 times more in Vermont than in Georgia. 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· 12th of 51
$6.76
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.