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 $16.60 Median $24.55 Typical High $53.70 | Facility | None | $16.60 | $24.55 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $17.78 | Professional | None | $12.59 | $16.98 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $11.75 | Professional | None | $5.62 | $8.51 | $11.75 |
BCBS Kansas Setting Facility Modifier None Typical Low $53.70 Median $56.23 Typical High $85.11 | Facility | None | $53.70 | $56.23 | $85.11 |
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 $11.75 Median $21.38 Typical High $38.90 | Facility | None | $11.75 | $21.38 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $38.90 Typical High $63.10 | Professional | None | $10.23 | $38.90 | $63.10 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $28.18 Typical High $81.28 | Facility | None | $14.79 | $28.18 | $81.28 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $10.23 Typical High $29.51 | Professional | None | $8.32 | $10.23 | $29.51 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $16.98 | Facility | None | $10.23 | $10.23 | $16.98 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $35.48 | Professional | None | $7.08 | $10.23 | $35.48 |
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 $8.51 Typical High $8.91 | Professional | 52 · Reduced service | $7.24 | $8.51 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.39 Typical High $3.63 | Professional | 53 · Discontinued | $2.88 | $3.39 | $3.63 |
Where Kansas sits
The same service costs 8.5 times more in Vermont than in Rhode Island. 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
$38.90
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.