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 $13.18 Median $24.55 Typical High $44.67 | Facility | None | $13.18 | $24.55 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $14.13 Typical High $15.14 | Professional | None | $10.47 | $14.13 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
BCBS Kansas Setting Facility Modifier None Typical Low $25.70 Median $27.54 Typical High $40.74 | Facility | None | $25.70 | $27.54 | $40.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $18.20 Typical High $32.36 | Facility | None | $9.77 | $18.20 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $33.88 Typical High $33.88 | Professional | None | $8.71 | $33.88 | $33.88 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $23.44 Typical High $38.02 | Facility | None | $12.59 | $23.44 | $38.02 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $26.30 | Professional | None | $5.89 | $8.51 | $26.30 |
United Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $14.13 | Facility | None | $8.51 | $8.51 | $14.13 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $29.51 | Professional | None | $5.89 | $8.51 | $29.51 |
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 $6.03 Median $7.08 Typical High $7.41 | Professional | 52 · Reduced service | $6.03 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.82 Typical High $3.02 | Professional | 53 · Discontinued | $2.45 | $2.82 | $3.02 |
Where Kansas sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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
$25.70
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.