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 $13.18 Median $22.39 Typical High $40.74 | Facility | None | $13.18 | $22.39 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $13.80 | Professional | None | $11.22 | $13.18 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $9.12 | Professional | None | $7.94 | $7.94 | $9.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $40.74 Median $43.65 Typical High $64.57 | Facility | None | $40.74 | $43.65 | $64.57 |
BCBS Kansas Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $16.60 Typical High $30.20 | Facility | None | $9.12 | $16.60 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $33.88 Typical High $48.98 | Professional | None | $8.13 | $33.88 | $48.98 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $21.38 Typical High $35.48 | Facility | None | $11.22 | $21.38 | $35.48 |
Medica Setting Professional Modifier None Typical Low $5.50 Median $7.76 Typical High $22.91 | Professional | None | $5.50 | $7.76 | $22.91 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $13.18 | Facility | None | $7.76 | $7.76 | $13.18 |
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 $2.63 Typical High $2.75 | Professional | 53 · Discontinued | $2.24 | $2.63 | $2.75 |
Where Kansas sits
The same service costs 10.2 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
$35.48
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.