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 $10.96 Median $20.42 Typical High $35.48 | Facility | None | $10.96 | $20.42 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $11.22 Typical High $12.02 | Professional | None | $8.51 | $11.22 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $7.76 | Professional | None | $6.92 | $6.92 | $7.76 |
BCBS Kansas Setting Facility Modifier None Typical Low $31.62 Median $33.11 Typical High $50.12 | Facility | None | $31.62 | $33.11 | $50.12 |
BCBS Kansas Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $14.45 Typical High $25.70 | Facility | None | $7.94 | $14.45 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $29.51 Typical High $38.02 | Professional | None | $6.92 | $29.51 | $38.02 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $18.62 Typical High $30.90 | Facility | None | $10.23 | $18.62 | $30.90 |
Medica Setting Professional Modifier None Typical Low $4.68 Median $6.76 Typical High $20.89 | Professional | None | $4.68 | $6.76 | $20.89 |
United Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $11.22 | Facility | None | $6.76 | $6.76 | $11.22 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.76 Typical High $23.44 | Professional | None | $4.68 | $6.76 | $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 $4.79 Median $5.62 Typical High $6.03 | Professional | 52 · Reduced service | $4.79 | $5.62 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $2.40 | Professional | 53 · Discontinued | $1.95 | $2.24 | $2.40 |
Where Kansas sits
The same service costs 11.7 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· 2nd of 51
$31.62
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.