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 $16.60 Median $25.70 Typical High $53.70 | Facility | None | $16.60 | $25.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $18.20 | Professional | None | $14.79 | $16.98 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $11.75 | Professional | None | $10.47 | $10.47 | $11.75 |
BCBS Kansas Setting Facility Modifier None Typical Low $48.98 Median $51.29 Typical High $75.86 | Facility | None | $48.98 | $51.29 | $75.86 |
BCBS Kansas Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $21.88 Typical High $38.90 | Facility | None | $12.02 | $21.88 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $44.67 Typical High $57.54 | Professional | None | $10.47 | $44.67 | $57.54 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $28.18 Typical High $45.71 | Facility | None | $14.79 | $28.18 | $45.71 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $31.62 | Professional | None | $7.08 | $10.23 | $31.62 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $16.98 | Facility | None | $10.23 | $10.23 | $16.98 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $35.48 | Professional | None | $7.08 | $10.23 | $35.48 |
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 $7.41 Median $8.51 Typical High $9.12 | Professional | 52 · Reduced service | $7.41 | $8.51 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.39 Typical High $3.63 | Professional | 53 · Discontinued | $2.95 | $3.39 | $3.63 |
Where Kansas sits
The same service costs 8.1 times more in Vermont than in Indiana. 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
$44.67
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.