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 $3.98 Median $7.41 Typical High $13.18 | Facility | None | $3.98 | $7.41 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.98 Typical High $4.27 | Professional | None | $3.02 | $3.98 | $4.27 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $2.45 Typical High $2.45 | Professional | None | $2.40 | $2.45 | $2.45 |
BCBS Kansas Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $79.43 | Facility | None | $50.12 | $52.48 | $79.43 |
BCBS Kansas Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $5.13 Typical High $9.12 | Facility | None | $2.75 | $5.13 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $10.23 Typical High $60.26 | Professional | None | $2.45 | $10.23 | $60.26 |
Medica Setting Facility Modifier None Typical Low $3.63 Median $6.61 Typical High $10.96 | Facility | None | $3.63 | $6.61 | $10.96 |
Medica Setting Professional Modifier None Typical Low $2.00 Median $2.40 Typical High $6.92 | Professional | None | $2.00 | $2.40 | $6.92 |
United Setting Facility Modifier None Typical Low $2.40 Median $2.40 Typical High $3.98 | Facility | None | $2.40 | $2.40 | $3.98 |
United Setting Professional Modifier None Typical Low $1.70 Median $2.40 Typical High $8.32 | Professional | None | $1.70 | $2.40 | $8.32 |
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 $1.74 Median $2.00 Typical High $2.14 | Professional | 52 · Reduced service | $1.74 | $2.00 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.79 Typical High $0.85 | Professional | 53 · Discontinued | $0.69 | $0.79 | $0.85 |
Where Kansas sits
The same service costs 13.8 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· 2nd 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.