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 $2.75 Median $5.01 Typical High $9.33 | Facility | None | $2.75 | $5.01 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $3.02 Typical High $3.16 | Professional | None | $2.57 | $3.02 | $3.16 |
Ambetter Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $2.09 | Professional | None | $1.82 | $1.82 | $2.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.90 Median $40.74 Typical High $61.66 | Facility | None | $38.90 | $40.74 | $61.66 |
BCBS Kansas Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $2.09 Median $3.80 Typical High $6.92 | Facility | None | $2.09 | $3.80 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $7.59 Typical High $12.02 | Professional | None | $1.82 | $7.59 | $12.02 |
Medica Setting Facility Modifier None Typical Low $2.69 Median $4.90 Typical High $85.11 | Facility | None | $2.69 | $4.90 | $85.11 |
Medica Setting Professional Modifier None Typical Low $1.51 Median $1.78 Typical High $6.17 | Professional | None | $1.51 | $1.78 | $6.17 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $69.18 | Facility | None | $43.65 | $43.65 | $69.18 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.78 Typical High $6.17 | Professional | None | $1.26 | $1.78 | $6.17 |
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 $1.29 Median $1.51 Typical High $1.58 | Professional | 52 · Reduced service | $1.29 | $1.51 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.60 Typical High $0.63 | Professional | 53 · Discontinued | $0.51 | $0.60 | $0.63 |
Where Kansas sits
The same service costs 28.2 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· 6th of 51
$9.33
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.