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 $281.84 Median $489.78 Typical High $758.58 | Facility | None | $281.84 | $489.78 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $309.03 | Professional | None (both parts) | $269.15 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $407.38 Typical High $436.52 | Professional | 26 · Professional part | $346.74 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $81.28 Typical High $87.10 | Professional | 53 · Discontinued | $70.79 | $81.28 | $87.10 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $426.58 Typical High $933.25 | Facility | None | $371.54 | $426.58 | $933.25 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $407.38 Typical High $707.95 | Facility | None | $245.47 | $407.38 | $707.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $2,041.74 | Professional | None (both parts) | $100.00 | $100.00 | $2,041.74 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $407.38 | Facility | None | $245.47 | $245.47 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $346.74 | Professional | None (both parts) | $100.00 | $100.00 | $346.74 |
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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,570.40 | $2,570.40 | $2,570.40 |
Where Kansas sits
The same service costs 22.4 times more in Texas than in Indiana. 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· 17th of 51
$347
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.