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 $5.37 Median $7.41 Typical High $18.20 | Facility | None | $5.37 | $7.41 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.75 Typical High $6.17 | Professional | None | $4.37 | $5.75 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $1.95 Median $2.88 Typical High $3.98 | Professional | None | $1.95 | $2.88 | $3.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $15.85 Median $16.60 Typical High $24.55 | Facility | None | $15.85 | $16.60 | $24.55 |
BCBS Kansas Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $7.24 Typical High $13.18 | Facility | None | $4.07 | $7.24 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $15.14 Typical High $19.05 | Professional | None | $3.47 | $15.14 | $19.05 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $9.55 Typical High $60.26 | Facility | None | $4.47 | $9.55 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $10.00 | Professional | None | $2.40 | $3.47 | $10.00 |
United Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $5.75 | Facility | None | $3.47 | $3.47 | $5.75 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $12.02 | Professional | None | $2.40 | $3.47 | $12.02 |
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 $2.51 Median $2.88 Typical High $3.09 | Professional | 52 · Reduced service | $2.51 | $2.88 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.15 Typical High $1.23 | Professional | 53 · Discontinued | $1.00 | $1.15 | $1.23 |
Where Kansas sits
The same service costs 12.9 times more in Vermont than in Alabama. 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
$14.45
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.