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 $4.37 Median $7.94 Typical High $14.79 | Facility | None | $4.37 | $7.94 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.79 Typical High $5.01 | Professional | None | $3.55 | $4.79 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $12.59 Median $13.49 Typical High $19.95 | Facility | None | $12.59 | $13.49 | $19.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $6.17 Typical High $10.72 | Facility | None | $3.31 | $6.17 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $12.30 Typical High $15.14 | Professional | None | $3.02 | $12.30 | $15.14 |
Medica Setting Facility Modifier None Typical Low $4.17 Median $7.76 Typical High $13.80 | Facility | None | $4.17 | $7.76 | $13.80 |
Medica Setting Professional Modifier None Typical Low $2.82 Median $4.79 Typical High $8.91 | Professional | None | $2.82 | $4.79 | $8.91 |
United Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $4.79 | Facility | None | $2.82 | $2.82 | $4.79 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.79 Typical High $9.77 | Professional | None | $2.82 | $4.79 | $9.77 |
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 $2.04 Median $2.40 Typical High $2.51 | Professional | 52 · Reduced service | $2.04 | $2.40 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.95 Typical High $1.00 | Professional | 53 · Discontinued | $0.81 | $0.95 | $1.00 |
Where Kansas sits
The same service costs 12.9 times more in Vermont than in Washington, DC. 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
$12.30
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.