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 $21.38 Median $25.70 Typical High $41.69 | Facility | None | $21.38 | $25.70 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $24.55 | Professional | None | $16.22 | $22.91 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $27.54 Median $40.74 Typical High $42.66 | Facility | None | $27.54 | $40.74 | $42.66 |
BCBS Kansas Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $23.99 Typical High $50.12 | Facility | None | $15.14 | $23.99 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $33.11 | Professional | None | $26.30 | $33.11 | $33.11 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $22.91 Typical High $109.65 | Facility | None | $12.59 | $22.91 | $109.65 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $37.15 | Professional | None | $9.55 | $13.80 | $37.15 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $22.91 | Facility | None | $13.80 | $13.80 | $22.91 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $38.90 | Professional | None | $9.55 | $13.80 | $38.90 |
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 $9.77 Median $11.48 Typical High $12.30 | Professional | 52 · Reduced service | $9.77 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.57 Typical High $4.90 | Professional | 53 · Discontinued | $3.98 | $4.57 | $4.90 |
Where Kansas sits
The same service costs 9.8 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· 9th of 51
$28.84
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.