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 $11.75 Median $37.15 Typical High $50.12 | Facility | None | $11.75 | $37.15 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $11.75 Typical High $12.59 | Professional | None | $8.91 | $11.75 | $12.59 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
BCBS Kansas Setting Facility Modifier None Typical Low $26.92 Median $28.84 Typical High $42.66 | Facility | None | $26.92 | $28.84 | $42.66 |
BCBS Kansas Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $15.14 Typical High $26.92 | Facility | None | $8.32 | $15.14 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $30.90 Typical High $30.90 | Professional | None | $7.24 | $30.90 | $30.90 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $19.50 Typical High $70.79 | Facility | None | $10.23 | $19.50 | $70.79 |
Medica Setting Professional Modifier None Typical Low $2.40 Median $7.08 Typical High $22.39 | Professional | None | $2.40 | $7.08 | $22.39 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $11.75 | Facility | None | $7.08 | $7.08 | $11.75 |
United Setting Professional Modifier None Typical Low $2.40 Median $7.08 Typical High $24.55 | Professional | None | $2.40 | $7.08 | $24.55 |
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 $5.13 Median $5.89 Typical High $6.31 | Professional | 52 · Reduced service | $5.13 | $5.89 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.34 Typical High $2.51 | Professional | 53 · Discontinued | $2.04 | $2.34 | $2.51 |
Where Kansas sits
The same service costs 10.2 times more in Vermont than in Alabama. 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· 3rd of 51
$26.92
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.