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 $13.49 Median $21.38 Typical High $45.71 | Facility | None | $13.49 | $21.38 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $15.49 | Professional | None | $10.96 | $14.45 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $10.00 | Professional | None | $7.24 | $7.24 | $10.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $31.62 Median $33.11 Typical High $48.98 | Facility | None | $31.62 | $33.11 | $48.98 |
BCBS Kansas Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $18.62 Typical High $33.11 | Facility | None | $10.23 | $18.62 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $37.15 Typical High $38.90 | Professional | None | $8.91 | $37.15 | $38.90 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $23.99 Typical High $39.81 | Facility | None | $13.18 | $23.99 | $39.81 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $27.54 | Professional | None | $6.17 | $8.71 | $27.54 |
United Setting Facility Modifier None Typical Low $8.71 Median $14.45 Typical High $30.20 | Facility | None | $8.71 | $14.45 | $30.20 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $30.20 | Professional | None | $6.17 | $8.71 | $30.20 |
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 $6.31 Median $7.24 Typical High $7.76 | Professional | 52 · Reduced service | $6.31 | $7.24 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.88 Typical High $3.09 | Professional | 53 · Discontinued | $2.51 | $2.88 | $3.09 |
Where Kansas sits
The same service costs 10.2 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· 4th of 51
$31.62
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.