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 $2,691.53 Median $4,168.69 Typical High $7,079.46 | Facility | None | $2,691.53 | $4,168.69 | $7,079.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,890.45 Typical High $4,073.80 | Professional | None (both parts) | $3,311.31 | $3,890.45 | $4,073.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3,311.31 Median $3,890.45 Typical High $4,073.80 | Professional | 26 · Professional part | $3,311.31 | $3,890.45 | $4,073.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,659.59 Median $1,949.84 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,659.59 | $1,949.84 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $776.25 Typical High $812.83 | Professional | 53 · Discontinued | $660.69 | $776.25 | $812.83 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $3,981.07 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $8,709.64 | Facility | None | $3,467.37 | $3,981.07 | $8,709.64 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $3,890.45 Typical High $6,760.83 | Facility | None | $2,344.23 | $3,890.45 | $6,760.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,344.23 Typical High $19,498.45 | Professional | None (both parts) | $2,344.23 | $2,344.23 | $19,498.45 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,890.45 | Facility | None | $2,344.23 | $2,344.23 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $2,344.23 Typical High $6,606.93 | Professional | None (both parts) | $1,621.81 | $2,344.23 | $6,606.93 |
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 $24,547.09 Median $24,547.09 Typical High $24,547.09 | Professional | TC · Technical part | $24,547.09 | $24,547.09 | $24,547.09 |
Where Kansas sits
The same service costs 10.2 times more in Texas 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· 24th of 51
$3,890
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.