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 $8.71 Median $15.85 Typical High $28.18 | Facility | None | $8.71 | $15.85 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $8.91 Typical High $9.33 | Professional | None | $6.61 | $8.91 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
BCBS Kansas Setting Facility Modifier None Typical Low $19.95 Median $21.38 Typical High $31.62 | Facility | None | $19.95 | $21.38 | $31.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $11.48 Typical High $20.42 | Facility | None | $6.17 | $11.48 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $21.88 Typical High $21.88 | Professional | None | $5.50 | $21.88 | $21.88 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $14.79 Typical High $27.54 | Facility | None | $7.94 | $14.79 | $27.54 |
Medica Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $16.60 | Professional | None | $3.72 | $5.37 | $16.60 |
United Setting Facility Modifier None Typical Low $5.37 Median $8.91 Typical High $36.31 | Facility | None | $5.37 | $8.91 | $36.31 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $18.62 | Professional | None | $3.72 | $5.37 | $18.62 |
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 $3.80 Median $4.47 Typical High $4.68 | Professional | 52 · Reduced service | $3.80 | $4.47 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.78 Typical High $1.91 | Professional | 53 · Discontinued | $1.51 | $1.78 | $1.91 |
Where Kansas sits
The same service costs 8.7 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· 3rd of 51
$19.95
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.