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 $4.17 Median $6.03 Typical High $14.13 | Facility | None | $4.17 | $6.03 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $4.47 Typical High $4.79 | Professional | None | $3.39 | $4.47 | $4.79 |
Ambetter Setting Professional Modifier None Typical Low $1.51 Median $2.24 Typical High $2.75 | Professional | None | $1.51 | $2.24 | $2.75 |
BCBS Kansas Setting Facility Modifier None Typical Low $9.33 Median $9.77 Typical High $14.79 | Facility | None | $9.33 | $9.77 | $14.79 |
BCBS Kansas Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $5.75 Typical High $10.23 | Facility | None | $3.16 | $5.75 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $10.23 Typical High $10.96 | Professional | None | $2.75 | $10.23 | $10.96 |
Medica Setting Facility Modifier None Typical Low $3.89 Median $7.41 Typical High $60.26 | Facility | None | $3.89 | $7.41 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $2.69 Typical High $7.94 | Professional | None | $2.09 | $2.69 | $7.94 |
United Setting Facility Modifier None Typical Low $2.69 Median $4.47 Typical High $10.47 | Facility | None | $2.69 | $4.47 | $10.47 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.69 Typical High $9.33 | Professional | None | $1.91 | $2.69 | $9.33 |
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 $1.95 Median $2.24 Typical High $2.40 | Professional | 52 · Reduced service | $1.95 | $2.24 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.89 Typical High $0.95 | Professional | 53 · Discontinued | $0.78 | $0.89 | $0.95 |
Where Kansas sits
The same service costs 15.8 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· 4th of 51
$9.33
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.