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 $10.72 Median $12.59 Typical High $19.95 | Facility | None | $10.72 | $12.59 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $11.48 Typical High $12.30 | Professional | None | $8.71 | $11.48 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.24 | Professional | None | $7.08 | $7.08 | $7.24 |
BCBS Kansas Setting Facility Modifier None Typical Low $13.80 Median $20.42 Typical High $21.38 | Facility | None | $13.80 | $20.42 | $21.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $12.02 Typical High $25.12 | Facility | None | $7.94 | $12.02 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $16.98 | Professional | None | $13.18 | $16.98 | $16.98 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $11.48 Typical High $60.26 | Facility | None | $7.94 | $11.48 | $60.26 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $19.50 | Professional | None | $4.79 | $6.92 | $19.50 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $11.48 | Facility | None | $6.92 | $6.92 | $11.48 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $23.44 | Professional | None | $4.79 | $6.92 | $23.44 |
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 $5.01 Median $5.75 Typical High $6.17 | Professional | 52 · Reduced service | $5.01 | $5.75 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.29 Typical High $2.45 | Professional | 53 · Discontinued | $2.00 | $2.29 | $2.45 |
Where Kansas sits
The same service costs 24.0 times more in Vermont than in New Jersey. 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· 12th of 51
$14.45
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.