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 $19.50 Median $24.55 Typical High $66.07 | Facility | None | $19.50 | $24.55 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $21.88 | Professional | None | $17.78 | $20.89 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $10.47 Typical High $14.45 | Professional | None | $6.92 | $10.47 | $14.45 |
BCBS Kansas Setting Facility Modifier None Typical Low $45.71 Median $47.86 Typical High $72.44 | Facility | None | $45.71 | $47.86 | $72.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $26.30 Typical High $47.86 | Facility | None | $14.45 | $26.30 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $51.29 Typical High $51.29 | Professional | None | $12.88 | $51.29 | $51.29 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $34.67 Typical High $56.23 | Facility | None | $18.20 | $34.67 | $56.23 |
Medica Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $36.31 | Professional | None | $10.47 | $12.59 | $36.31 |
United Setting Facility Modifier None Typical Low $12.59 Median $20.89 Typical High $112.20 | Facility | None | $12.59 | $20.89 | $112.20 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.59 Typical High $43.65 | Professional | None | $8.71 | $12.59 | $43.65 |
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 $8.91 Median $10.47 Typical High $10.96 | Professional | 52 · Reduced service | $8.91 | $10.47 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.17 Typical High $4.47 | Professional | 53 · Discontinued | $3.63 | $4.17 | $4.47 |
Where Kansas sits
The same service costs 7.9 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
$45.71
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.