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 $4.79 Median $9.12 Typical High $16.22 | Facility | None | $4.79 | $9.12 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $5.13 Typical High $5.50 | Professional | None | $3.89 | $5.13 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
BCBS Kansas Setting Facility Modifier None Typical Low $11.75 Median $12.30 Typical High $18.62 | Facility | None | $11.75 | $12.30 | $18.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $6.61 Typical High $11.75 | Facility | None | $3.63 | $6.61 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $13.49 Typical High $25.70 | Professional | None | $3.16 | $13.49 | $25.70 |
Medica Setting Facility Modifier None Typical Low $4.68 Median $8.51 Typical High $13.80 | Facility | None | $4.68 | $8.51 | $13.80 |
Medica Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $9.77 | Professional | None | $2.19 | $3.09 | $9.77 |
United Setting Facility Modifier None Typical Low $3.09 Median $5.13 Typical High $8.91 | Facility | None | $3.09 | $5.13 | $8.91 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $10.72 | Professional | None | $2.19 | $3.09 | $10.72 |
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 $2.24 Median $2.57 Typical High $2.75 | Professional | 52 · Reduced service | $2.24 | $2.57 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.05 Typical High $1.10 | Professional | 53 · Discontinued | $0.89 | $1.05 | $1.10 |
Where Kansas sits
The same service costs 9.3 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· 4th of 51
$11.75
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.