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 $263.03 Median $416.87 Typical High $707.95 | Facility | None | $263.03 | $416.87 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $380.19 Typical High $407.38 | Professional | None (both parts) | $323.59 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $380.19 Typical High $407.38 | Professional | 26 · Professional part | $323.59 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $190.55 Typical High $199.53 | Professional | 52 · Reduced service | $162.18 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $75.86 Typical High $81.28 | Professional | 53 · Discontinued | $66.07 | $75.86 | $81.28 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $870.96 | Facility | None | $346.74 | $398.11 | $870.96 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $380.19 Typical High $660.69 | Facility | None | $229.09 | $380.19 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $1,905.46 | Professional | None (both parts) | $229.09 | $229.09 | $1,905.46 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $380.19 | Facility | None | $229.09 | $229.09 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $645.65 | Professional | None (both parts) | $158.49 | $229.09 | $645.65 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | TC · Technical part | $2,398.83 | $2,398.83 | $2,398.83 |
Where Kansas sits
The same service costs 11.0 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· 25th of 51
$380
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.