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 $5.62 Median $13.18 Typical High $17.38 | Facility | None | $5.62 | $13.18 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $5.50 Typical High $5.89 | Professional | None | $4.17 | $5.50 | $5.89 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
BCBS Kansas Setting Facility Modifier None Typical Low $9.12 Median $9.55 Typical High $14.45 | Facility | None | $9.12 | $9.55 | $14.45 |
BCBS Kansas Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $6.92 Typical High $12.59 | Facility | None | $3.89 | $6.92 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $12.88 Typical High $12.88 | Professional | None | $3.39 | $12.88 | $12.88 |
Medica Setting Facility Modifier None Typical Low $5.01 Median $9.12 Typical High $18.62 | Facility | None | $5.01 | $9.12 | $18.62 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $3.31 Typical High $10.23 | Professional | None | $2.29 | $3.31 | $10.23 |
United Setting Facility Modifier None Typical Low $3.31 Median $5.50 Typical High $12.02 | Facility | None | $3.31 | $5.50 | $12.02 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.31 Typical High $11.48 | Professional | None | $2.29 | $3.31 | $11.48 |
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 $2.34 Median $2.75 Typical High $2.95 | Professional | 52 · Reduced service | $2.34 | $2.75 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $1.10 Typical High $1.17 | Professional | 53 · Discontinued | $0.95 | $1.10 | $1.17 |
Where Kansas sits
The same service costs 12.3 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· 5th of 51
$9.12
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.