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 $16.98 Median $22.91 Typical High $57.54 | Facility | None | $16.98 | $22.91 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $19.50 | Professional | None | $13.80 | $18.20 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $12.88 | Professional | None | $9.12 | $10.96 | $12.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $42.66 Median $45.71 Typical High $67.61 | Facility | None | $42.66 | $45.71 | $67.61 |
BCBS Kansas Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $23.44 Typical High $41.69 | Facility | None | $12.88 | $23.44 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $42.66 Typical High $52.48 | Professional | None | $11.22 | $42.66 | $52.48 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $30.20 Typical High $50.12 | Facility | None | $15.85 | $30.20 | $50.12 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $32.36 | Professional | None | $9.12 | $10.96 | $32.36 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $18.20 | Facility | None | $10.96 | $10.96 | $18.20 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $38.02 | Professional | None | $7.76 | $10.96 | $38.02 |
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 $7.94 Median $9.12 Typical High $9.77 | Professional | 52 · Reduced service | $7.94 | $9.12 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.72 Typical High $3.89 | Professional | 53 · Discontinued | $3.16 | $3.72 | $3.89 |
Where Kansas sits
The same service costs 7.1 times more in Vermont than in Illinois. 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· 5th of 51
$39.81
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.