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 $6.92 Median $10.72 Typical High $23.44 | Facility | None | $6.92 | $10.72 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $7.94 | Professional | None | $5.62 | $7.59 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $5.25 | Professional | None | $4.57 | $4.57 | $5.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $21.88 Median $22.91 Typical High $34.67 | Facility | None | $21.88 | $22.91 | $34.67 |
BCBS Kansas Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $9.55 Typical High $16.98 | Facility | None | $5.25 | $9.55 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $17.38 Typical High $36.31 | Professional | None | $4.79 | $17.38 | $36.31 |
Medica Setting Facility Modifier None Typical Low $6.61 Median $12.30 Typical High $100.00 | Facility | None | $6.61 | $12.30 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.16 Median $4.47 Typical High $14.13 | Professional | None | $3.16 | $4.47 | $14.13 |
United Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $7.59 | Facility | None | $2.45 | $2.45 | $7.59 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.47 Typical High $15.49 | Professional | None | $3.16 | $4.47 | $15.49 |
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 $3.24 Median $3.80 Typical High $3.98 | Professional | 52 · Reduced service | $3.24 | $3.80 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.51 Typical High $1.58 | Professional | 53 · Discontinued | $1.29 | $1.51 | $1.58 |
Where Kansas sits
The same service costs 21.4 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
$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.