How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2.04 Median $4.37 Typical High $181.97 | Facility | None | $2.04 | $4.37 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.19 | Professional | None | $2.04 | $2.04 | $2.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $24.55 | Professional | None | $19.95 | $19.95 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $10.23 Typical High $15.85 | Professional | None | $6.03 | $10.23 | $15.85 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $100.00 | Facility | None | $14.13 | $20.89 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $40.74 Typical High $40.74 | Professional | None | $6.17 | $40.74 | $40.74 |
Medica Setting Professional Modifier HM · Below bachelor's level Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $9.33 |
Medica Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $10.47 |
Medica Setting Professional Modifier HO · Master's level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HO · Master's level | $12.30 | $12.30 | $12.30 |
Medica Setting Professional Modifier HP · Doctoral level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HP · Doctoral level | $12.30 | $12.30 | $12.30 |
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 $4.90 Median $6.46 Typical High $12.30 | Professional | None | $4.90 | $6.46 | $12.30 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier HO · Master's level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HO · Master's level | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier HP · Doctoral level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HP · Doctoral level | $12.30 | $12.30 | $12.30 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier U1 · State-defined Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | U1 · State-defined | $3.09 | $3.09 | $3.09 |
Where Kansas sits
The same service costs 11.0 times more in Washington, DC than in Alabama. 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.