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 $15.49 Median $21.88 Typical High $52.48 | Facility | None | $15.49 | $21.88 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.60 Typical High $17.78 | Professional | None | $14.45 | $16.60 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $11.75 | Professional | None | $10.23 | $10.23 | $11.75 |
BCBS Kansas Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $56.23 | Facility | None | $35.48 | $37.15 | $56.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $21.38 Typical High $38.02 | Facility | None | $11.75 | $21.38 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $39.81 Typical High $39.81 | Professional | None | $10.23 | $39.81 | $39.81 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $27.54 Typical High $45.71 | Facility | None | $14.79 | $27.54 | $45.71 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $31.62 | Professional | None | $7.08 | $10.00 | $31.62 |
United Setting Facility Modifier None Typical Low $10.00 Median $16.60 Typical High $75.86 | Facility | None | $10.00 | $16.60 | $75.86 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $34.67 | Professional | None | $7.08 | $10.00 | $34.67 |
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 $7.24 Median $8.32 Typical High $8.91 | Professional | 52 · Reduced service | $7.24 | $8.32 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.39 Typical High $3.55 | Professional | 53 · Discontinued | $2.88 | $3.39 | $3.55 |
Where Kansas sits
The same service costs 7.9 times more in Vermont 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· 3rd of 51
$35.48
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.