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 $17.38 Typical High $45.71 | Facility | None | $12.02 | $17.38 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $15.14 | Professional | None | $12.30 | $14.45 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.00 | Professional | None | $8.91 | $8.91 | $10.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $19.50 Median $20.89 Typical High $30.90 | Facility | None | $19.50 | $20.89 | $30.90 |
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 $10.00 Median $18.20 Typical High $33.11 | Facility | None | $10.00 | $18.20 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $34.67 Typical High $34.67 | Professional | None | $8.91 | $34.67 | $34.67 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $23.44 Typical High $38.90 | Facility | None | $12.59 | $23.44 | $38.90 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $25.12 | Professional | None | $6.03 | $8.71 | $25.12 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $14.45 | Facility | None | $8.71 | $8.71 | $14.45 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $30.20 | Professional | None | $6.03 | $8.71 | $30.20 |
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 $6.17 Median $7.24 Typical High $7.59 | Professional | 52 · Reduced service | $6.17 | $7.24 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.88 Typical High $3.02 | Professional | 53 · Discontinued | $2.45 | $2.88 | $3.02 |
Where Kansas sits
The same service costs 8.3 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· 12th of 51
$19.50
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.