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 $21.88 Typical High $51.29 | Facility | None | $15.14 | $21.88 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $16.22 Typical High $17.38 | Professional | None | $14.13 | $16.22 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $5.50 Median $9.77 Typical High $10.00 | Professional | None | $5.50 | $9.77 | $10.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.02 Median $40.74 Typical High $60.26 | Facility | None | $38.02 | $40.74 | $60.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $20.89 Typical High $37.15 | Facility | None | $11.48 | $20.89 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $37.15 Typical High $45.71 | Professional | None | $10.00 | $37.15 | $45.71 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $26.92 Typical High $51.29 | Facility | None | $14.13 | $26.92 | $51.29 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $28.18 | Professional | None | $8.13 | $9.77 | $28.18 |
United Setting Facility Modifier None Typical Low $9.77 Median $16.22 Typical High $104.71 | Facility | None | $9.77 | $16.22 | $104.71 |
United Setting Professional Modifier None Typical Low $6.92 Median $9.77 Typical High $33.88 | Professional | None | $6.92 | $9.77 | $33.88 |
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 $7.08 Median $8.13 Typical High $8.71 | Professional | 52 · Reduced service | $7.08 | $8.13 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.24 Typical High $3.47 | Professional | 53 · Discontinued | $2.82 | $3.24 | $3.47 |
Where Kansas sits
The same service costs 8.5 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
$38.02
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.