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 $5.37 Median $9.33 Typical High $16.98 | Facility | None | $5.37 | $9.33 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $5.37 Typical High $5.75 | Professional | None | $4.07 | $5.37 | $5.75 |
Ambetter Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.72 | Professional | None | $3.31 | $3.31 | $3.72 |
BCBS Kansas Setting Facility Modifier None Typical Low $14.79 Median $15.49 Typical High $23.44 | Facility | None | $14.79 | $15.49 | $23.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $6.92 Typical High $12.30 | Facility | None | $3.80 | $6.92 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $13.49 Typical High $18.20 | Professional | None | $3.39 | $13.49 | $18.20 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $8.91 Typical High $60.26 | Facility | None | $4.90 | $8.91 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.24 Median $3.24 Typical High $10.00 | Professional | None | $2.24 | $3.24 | $10.00 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $109.65 | Facility | None | $69.18 | $69.18 | $109.65 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.24 Typical High $11.22 | Professional | None | $2.24 | $3.24 | $11.22 |
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 $2.29 Median $2.69 Typical High $2.88 | Professional | 52 · Reduced service | $2.29 | $2.69 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.07 Typical High $1.12 | Professional | 53 · Discontinued | $0.93 | $1.07 | $1.12 |
Where Kansas sits
The same service costs 11.2 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
$14.79
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.