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 $15.85 Median $22.39 Typical High $40.74 | Facility | None | $15.85 | $22.39 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $18.20 | Professional | None | $12.02 | $17.38 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | None | $10.47 | $10.47 | $10.72 |
BCBS Kansas Setting Facility Modifier None Typical Low $22.91 Median $24.55 Typical High $36.31 | Facility | None | $22.91 | $24.55 | $36.31 |
BCBS Kansas Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $19.05 Typical High $38.90 | Facility | None | $12.02 | $19.05 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $30.90 Typical High $30.90 | Professional | None | $8.13 | $30.90 | $30.90 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $123.03 | Facility | None | $12.59 | $21.38 | $123.03 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $26.92 | Professional | None | $8.71 | $10.47 | $26.92 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $17.38 | Facility | None | $10.47 | $10.47 | $17.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $31.62 | Professional | None | $7.24 | $10.47 | $31.62 |
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 $7.41 Median $8.71 Typical High $9.12 | Professional | 52 · Reduced service | $7.41 | $8.71 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.47 Typical High $3.63 | Professional | 53 · Discontinued | $2.95 | $3.47 | $3.63 |
Where Kansas sits
The same service costs 20.4 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· 11th of 51
$22.91
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.