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 $120.23 Median $190.55 Typical High $323.59 | Facility | None | $120.23 | $190.55 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $151.36 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $173.78 Typical High $186.21 | Professional | 26 · Professional part | $151.36 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $87.10 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $34.67 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $34.67 | $37.15 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $181.97 Typical High $398.11 | Facility | None | $158.49 | $181.97 | $398.11 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $173.78 Typical High $302.00 | Facility | None | $104.71 | $173.78 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $870.96 | Professional | None (both parts) | $104.71 | $104.71 | $870.96 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $173.78 | Facility | None | $104.71 | $104.71 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $295.12 | Professional | None (both parts) | $74.13 | $104.71 | $295.12 |
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 |
|---|---|---|---|---|---|
Medica Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
Where Kansas sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 24th of 51
$174
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.