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 $9.55 Median $17.78 Typical High $32.36 | Facility | None | $9.55 | $17.78 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $10.96 | Professional | None | $7.08 | $10.23 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.24 | Professional | None | $6.31 | $6.31 | $7.24 |
BCBS Kansas Setting Facility Modifier None Typical Low $15.49 Median $16.60 Typical High $24.55 | Facility | None | $15.49 | $16.60 | $24.55 |
BCBS Kansas Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $13.18 Typical High $23.44 | Facility | None | $7.24 | $13.18 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $25.12 Typical High $25.12 | Professional | None | $6.46 | $25.12 | $25.12 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $16.98 Typical High $60.26 | Facility | None | $8.91 | $16.98 | $60.26 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $18.20 | Professional | None | $5.13 | $6.17 | $18.20 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $10.23 | Facility | None | $6.17 | $6.17 | $10.23 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.17 Typical High $21.38 | Professional | None | $4.37 | $6.17 | $21.38 |
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 $4.47 Median $5.13 Typical High $5.50 | Professional | 52 · Reduced service | $4.47 | $5.13 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.04 Typical High $2.19 | Professional | 53 · Discontinued | $1.78 | $2.04 | $2.19 |
Where Kansas sits
The same service costs 12.6 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· 10th of 51
$15.49
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.