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 $8.32 Median $10.72 Typical High $28.18 | Facility | None | $8.32 | $10.72 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $10.72 | Professional | None | $7.76 | $9.12 | $10.72 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $5.37 Typical High $6.31 | Professional | None | $3.02 | $5.37 | $6.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $19.50 Median $20.42 Typical High $30.90 | Facility | None | $19.50 | $20.42 | $30.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $11.48 Typical High $20.89 | Facility | None | $6.31 | $11.48 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $20.42 Typical High $21.88 | Professional | None | $5.50 | $20.42 | $21.88 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $14.79 Typical High $89.13 | Facility | None | $7.94 | $14.79 | $89.13 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $5.37 Typical High $15.85 | Professional | None | $4.47 | $5.37 | $15.85 |
United Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $9.12 | Facility | None | $5.37 | $5.37 | $9.12 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.37 Typical High $18.62 | Professional | None | $3.80 | $5.37 | $18.62 |
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 $3.89 Median $4.47 Typical High $4.79 | Professional | 52 · Reduced service | $3.89 | $4.47 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.82 Typical High $1.91 | Professional | 53 · Discontinued | $1.55 | $1.82 | $1.91 |
Where Kansas sits
The same service costs 10.7 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· 7th of 51
$19.50
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.