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 $11.22 Median $17.78 Typical High $38.02 | Facility | None | $11.22 | $17.78 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $12.88 | Professional | None | $8.51 | $12.02 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $7.41 Typical High $8.32 | Professional | None | $7.24 | $7.41 | $8.32 |
BCBS Kansas Setting Facility Modifier None Typical Low $28.18 Median $29.51 Typical High $44.67 | Facility | None | $28.18 | $29.51 | $44.67 |
BCBS Kansas Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $15.49 Typical High $27.54 | Facility | None | $8.51 | $15.49 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $31.62 Typical High $32.36 | Professional | None | $7.41 | $31.62 | $32.36 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $19.95 Typical High $32.36 | Facility | None | $10.00 | $19.95 | $32.36 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $19.50 | Professional | None | $5.01 | $7.24 | $19.50 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $12.02 | Facility | None | $7.24 | $7.24 | $12.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $25.12 | Professional | None | $5.01 | $7.24 | $25.12 |
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 $5.13 Median $6.03 Typical High $6.46 | Professional | 52 · Reduced service | $5.13 | $6.03 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.40 Typical High $2.51 | Professional | 53 · Discontinued | $2.04 | $2.40 | $2.51 |
Where Kansas sits
The same service costs 9.5 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
$27.54
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.