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 $15.14 Median $30.90 Typical High $48.98 | Facility | None | $15.14 | $30.90 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $22.39 | Professional | None | $14.45 | $20.89 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $12.88 Typical High $13.18 | Professional | None | $7.08 | $12.88 | $13.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $20.89 Median $22.39 Typical High $33.11 | Facility | None | $20.89 | $22.39 | $33.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $23.44 Typical High $47.86 | Facility | None | $13.80 | $23.44 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $37.15 Typical High $37.15 | Professional | None | $10.00 | $37.15 | $37.15 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $25.70 Typical High $41.69 | Facility | None | $15.49 | $25.70 | $41.69 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $31.62 | Professional | None | $8.91 | $12.59 | $31.62 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $20.89 | Facility | None | $12.59 | $12.59 | $20.89 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $38.02 | Professional | None | $8.91 | $12.59 | $38.02 |
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 $9.12 Median $10.47 Typical High $11.22 | Professional | 52 · Reduced service | $9.12 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.27 Typical High $4.47 | Professional | 53 · Discontinued | $3.63 | $4.27 | $4.47 |
Where Kansas sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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· 17th of 51
$22.39
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.