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 $12.02 Median $28.18 Typical High $38.90 | Facility | None | $12.02 | $28.18 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $12.30 Typical High $13.18 | Professional | None | $9.33 | $12.30 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
BCBS Kansas Setting Facility Modifier None Typical Low $21.38 Median $22.39 Typical High $33.88 | Facility | None | $21.38 | $22.39 | $33.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $15.85 Typical High $28.18 | Facility | None | $8.71 | $15.85 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $30.20 Typical High $30.20 | Professional | None | $7.59 | $30.20 | $30.20 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $20.42 Typical High $39.81 | Facility | None | $10.72 | $20.42 | $39.81 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $7.41 Typical High $22.91 | Professional | None | $4.79 | $7.41 | $22.91 |
United Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $12.30 | Facility | None | $7.41 | $7.41 | $12.30 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.41 Typical High $25.70 | Professional | None | $4.79 | $7.41 | $25.70 |
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 $5.37 Median $6.17 Typical High $6.61 | Professional | 52 · Reduced service | $5.37 | $6.17 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.45 Typical High $2.63 | Professional | 53 · Discontinued | $2.14 | $2.45 | $2.63 |
Where Kansas sits
The same service costs 8.5 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· 7th of 51
$21.38
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.