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 $22.39 Typical High $40.74 | Facility | None | $12.02 | $22.39 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $13.80 | Professional | None | $10.96 | $12.88 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $8.91 | Professional | None | $7.94 | $7.94 | $8.91 |
BCBS Kansas Setting Facility Modifier None Typical Low $43.65 Median $45.71 Typical High $67.61 | Facility | None | $43.65 | $45.71 | $67.61 |
BCBS Kansas Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $16.60 Typical High $29.51 | Facility | None | $8.91 | $16.60 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $33.11 Typical High $51.29 | Professional | None | $7.94 | $33.11 | $51.29 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $21.38 Typical High $36.31 | Facility | None | $11.22 | $21.38 | $36.31 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $22.39 | Professional | None | $5.37 | $7.76 | $22.39 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $12.88 | Facility | None | $7.76 | $7.76 | $12.88 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $26.92 | Professional | None | $5.37 | $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 $5.50 Median $6.46 Typical High $6.76 | Professional | 52 · Reduced service | $5.50 | $6.46 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.57 Typical High $2.75 | Professional | 53 · Discontinued | $2.24 | $2.57 | $2.75 |
Where Kansas sits
The same service costs 7.9 times more in Vermont than in New Jersey. 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
$34.67
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.