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 $12.30 Median $19.05 Typical High $40.74 | Facility | None | $12.30 | $19.05 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $13.80 | Professional | None | $11.22 | $12.88 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $4.37 Median $7.94 Typical High $8.91 | Professional | None | $4.37 | $7.94 | $8.91 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.90 Median $40.74 Typical High $61.66 | Facility | None | $38.90 | $40.74 | $61.66 |
BCBS Kansas Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $16.60 Typical High $29.51 | Facility | None | $9.12 | $16.60 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $33.11 Typical High $45.71 | Professional | None | $7.94 | $33.11 | $45.71 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $21.38 Typical High $35.48 | Facility | None | $11.75 | $21.38 | $35.48 |
Medica Setting Professional Modifier None Typical Low $6.46 Median $7.76 Typical High $22.39 | Professional | None | $6.46 | $7.76 | $22.39 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $12.88 | Facility | None | $7.76 | $7.76 | $12.88 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.76 Typical High $26.92 | Professional | None | $5.50 | $7.76 | $26.92 |
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 $5.62 Median $6.46 Typical High $6.92 | Professional | 52 · Reduced service | $5.62 | $6.46 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.57 Typical High $2.75 | Professional | 53 · Discontinued | $2.24 | $2.57 | $2.75 |
Where Kansas sits
The same service costs 8.3 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· 4th of 51
$33.88
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.