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 $15.49 Median $19.50 Typical High $52.48 | Facility | None | $15.49 | $19.50 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $19.50 | Professional | None | $12.59 | $16.98 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $10.00 Typical High $11.75 | Professional | None | $8.32 | $10.00 | $11.75 |
BCBS Kansas Setting Facility Modifier None Typical Low $27.54 Median $29.51 Typical High $43.65 | Facility | None | $27.54 | $29.51 | $43.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $21.38 Typical High $38.02 | Facility | None | $11.75 | $21.38 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $38.90 Typical High $41.69 | Professional | None | $10.72 | $38.90 | $41.69 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $27.54 Typical High $100.00 | Facility | None | $14.45 | $27.54 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $10.00 Typical High $29.51 | Professional | None | $8.32 | $10.00 | $29.51 |
United Setting Facility Modifier None Typical Low $5.89 Median $10.00 Typical High $60.26 | Facility | None | $5.89 | $10.00 | $60.26 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $34.67 | Professional | None | $7.08 | $10.00 | $34.67 |
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 $7.24 Median $8.32 Typical High $8.91 | Professional | 52 · Reduced service | $7.24 | $8.32 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.39 Typical High $3.55 | Professional | 53 · Discontinued | $2.88 | $3.39 | $3.55 |
Where Kansas sits
The same service costs 7.8 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· 12th of 51
$27.54
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.