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 $5.01 Median $6.03 Typical High $15.85 | Facility | None | $5.01 | $6.03 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.01 Typical High $5.37 | Professional | None | $4.37 | $5.01 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $3.09 Typical High $3.47 | Professional | None | $3.02 | $3.09 | $3.47 |
BCBS Kansas Setting Facility Modifier None Typical Low $12.88 Median $13.49 Typical High $19.95 | Facility | None | $12.88 | $13.49 | $19.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $6.31 Typical High $11.48 | Facility | None | $3.55 | $6.31 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $12.88 Typical High $15.14 | Professional | None | $3.02 | $12.88 | $15.14 |
Medica Setting Facility Modifier None Typical Low $4.37 Median $8.32 Typical High $60.26 | Facility | None | $4.37 | $8.32 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $8.71 | Professional | None | $2.09 | $3.02 | $8.71 |
United Setting Facility Modifier None Typical Low $1.58 Median $1.58 Typical High $5.01 | Facility | None | $1.58 | $1.58 | $5.01 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $10.47 | Professional | None | $2.09 | $3.02 | $10.47 |
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 $2.51 Typical High $2.63 | Professional | 52 · Reduced service | $2.14 | $2.51 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $1.00 Typical High $1.07 | Professional | 53 · Discontinued | $0.85 | $1.00 | $1.07 |
Where Kansas sits
The same service costs 8.9 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· 4th of 51
$11.48
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.