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 $2.19 Median $4.07 Typical High $8.51 | Facility | None | $2.19 | $4.07 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $2.34 Typical High $2.75 | Professional | None | $1.78 | $2.34 | $2.75 |
Ambetter Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.62 | Professional | None | $1.45 | $1.45 | $1.62 |
BCBS Kansas Setting Facility Modifier None Typical Low $6.17 Median $6.46 Typical High $9.77 | Facility | None | $6.17 | $6.46 | $9.77 |
BCBS Kansas Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $1.66 Median $3.02 Typical High $5.37 | Facility | None | $1.66 | $3.02 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $6.17 Typical High $7.08 | Professional | None | $1.51 | $6.17 | $7.08 |
Medica Setting Facility Modifier None Typical Low $2.14 Median $3.89 Typical High $12.02 | Facility | None | $2.14 | $3.89 | $12.02 |
Medica Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $4.47 | Professional | None | $1.41 | $2.34 | $4.47 |
United Setting Facility Modifier None Typical Low $1.41 Median $2.34 Typical High $7.59 | Facility | None | $1.41 | $2.34 | $7.59 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $4.90 | Professional | None | $1.41 | $2.34 | $4.90 |
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 $1.02 Median $1.20 Typical High $1.26 | Professional | 52 · Reduced service | $1.02 | $1.20 | $1.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.47 Typical High $0.50 | Professional | 53 · Discontinued | $0.41 | $0.47 | $0.50 |
Where Kansas sits
The same service costs 16.6 times more in Minnesota than in Washington, DC. 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
$6.17
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.