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 $4.79 Median $7.59 Typical High $16.22 | Facility | None | $4.79 | $7.59 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $5.13 Typical High $6.17 | Professional | None | $3.89 | $5.13 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.63 | Professional | None | $2.57 | $2.57 | $3.63 |
BCBS Kansas Setting Facility Modifier None Typical Low $16.60 Median $17.38 Typical High $26.30 | Facility | None | $16.60 | $17.38 | $26.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $6.61 Typical High $11.75 | Facility | None | $3.63 | $6.61 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $13.49 Typical High $19.95 | Professional | None | $3.16 | $13.49 | $19.95 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $8.51 Typical High $85.11 | Facility | None | $4.47 | $8.51 | $85.11 |
Medica Setting Professional Modifier None Typical Low $2.57 Median $3.09 Typical High $9.12 | Professional | None | $2.57 | $3.09 | $9.12 |
United Setting Facility Modifier None Typical Low $1.70 Median $1.70 Typical High $5.13 | Facility | None | $1.70 | $1.70 | $5.13 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $10.72 | Professional | None | $2.19 | $3.09 | $10.72 |
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 $2.24 Median $2.57 Typical High $2.75 | Professional | 52 · Reduced service | $2.24 | $2.57 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.05 Typical High $1.10 | Professional | 53 · Discontinued | $0.89 | $1.05 | $1.10 |
Where Kansas sits
The same service costs 17.8 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· 8th of 51
$12.02
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.