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 $3.63 Median $5.75 Typical High $12.30 | Facility | None | $3.63 | $5.75 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.89 Typical High $4.17 | Professional | None | $3.39 | $3.89 | $4.17 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.75 | Professional | None | $2.40 | $2.40 | $2.75 |
BCBS Kansas Setting Facility Modifier None Typical Low $9.33 Median $9.77 Typical High $14.45 | Facility | None | $9.33 | $9.77 | $14.45 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $5.01 Typical High $9.12 | Facility | None | $2.75 | $5.01 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $10.00 Typical High $10.00 | Professional | None | $2.51 | $10.00 | $10.00 |
Medica Setting Facility Modifier None Typical Low $3.55 Median $6.46 Typical High $61.66 | Facility | None | $3.55 | $6.46 | $61.66 |
Medica Setting Professional Modifier None Typical Low $2.34 Median $3.89 Typical High $7.41 | Professional | None | $2.34 | $3.89 | $7.41 |
United Setting Facility Modifier None Typical Low $2.34 Median $3.89 Typical High $10.47 | Facility | None | $2.34 | $3.89 | $10.47 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.89 Typical High $8.13 | Professional | None | $2.34 | $3.89 | $8.13 |
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 $1.70 Median $1.95 Typical High $2.09 | Professional | 52 · Reduced service | $1.70 | $1.95 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.78 Typical High $0.83 | Professional | 53 · Discontinued | $0.68 | $0.78 | $0.83 |
Where Kansas sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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· 3rd of 51
$9.12
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.