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 $6.61 Median $13.80 Typical High $20.89 | Facility | None | $6.61 | $13.80 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.61 Typical High $7.08 | Professional | None | $5.75 | $6.61 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
BCBS Kansas Setting Facility Modifier None Typical Low $22.91 Median $23.99 Typical High $35.48 | Facility | None | $22.91 | $23.99 | $35.48 |
BCBS Kansas Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $8.51 Typical High $15.49 | Facility | None | $4.68 | $8.51 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $16.98 Typical High $26.92 | Professional | None | $4.07 | $16.98 | $26.92 |
Medica Setting Facility Modifier None Typical Low $6.03 Median $10.96 Typical High $19.50 | Facility | None | $6.03 | $10.96 | $19.50 |
Medica Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $12.59 | Professional | None | $2.82 | $3.98 | $12.59 |
United Setting Facility Modifier None Typical Low $3.98 Median $6.61 Typical High $15.14 | Facility | None | $3.98 | $6.61 | $15.14 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $13.80 | Professional | None | $2.82 | $3.98 | $13.80 |
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 $2.88 Median $3.31 Typical High $3.55 | Professional | 52 · Reduced service | $2.88 | $3.31 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.35 Typical High $1.41 | Professional | 53 · Discontinued | $1.15 | $1.35 | $1.41 |
Where Kansas sits
The same service costs 11.0 times more in Vermont than in Kentucky. 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
$20.42
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.