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 $2,187.76 Median $3,801.89 Typical High $5,888.44 | Facility | None | $2,187.76 | $3,801.89 | $5,888.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $2,691.53 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,691.53 Median $3,162.28 Typical High $3,311.31 | Professional | 26 · Professional part | $2,691.53 | $3,162.28 | $3,311.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,584.89 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,348.96 | $1,584.89 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $630.96 Typical High $676.08 | Professional | 53 · Discontinued | $549.54 | $630.96 | $676.08 |
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 $2,884.03 Median $3,311.31 Typical High $7,244.36 | Facility | None | $2,884.03 | $3,311.31 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $3,162.28 Typical High $5,495.41 | Facility | None | $1,905.46 | $3,162.28 | $5,495.41 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $15,848.93 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,162.28 | Facility | None | $1,905.46 | $1,905.46 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,905.46 Typical High $5,370.32 | Professional | None (both parts) | $1,318.26 | $1,905.46 | $5,370.32 |
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 $19,952.62 Median $19,952.62 Typical High $19,952.62 | Professional | TC · Technical part | $19,952.62 | $19,952.62 | $19,952.62 |
Where Kansas sits
The same service costs 26.9 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· 14th of 51
$3,162
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.