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 $891.25 Median $1,412.54 Typical High $2,398.83 | Facility | None | $891.25 | $1,412.54 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,318.26 Typical High $1,380.38 | Professional | None (both parts) | $1,122.02 | $1,318.26 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,122.02 Median $1,318.26 Typical High $1,380.38 | Professional | 26 · Professional part | $1,122.02 | $1,318.26 | $1,380.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $645.65 Typical High $691.83 | Professional | 52 · Reduced service | $562.34 | $645.65 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $263.03 Typical High $275.42 | Professional | 53 · Discontinued | $223.87 | $263.03 | $275.42 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $2,951.21 | Facility | None | $1,174.90 | $1,348.96 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,318.26 Typical High $2,290.87 | Facility | None | $776.25 | $1,318.26 | $2,290.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $6,456.54 | Professional | None (both parts) | $676.08 | $676.08 | $6,456.54 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,318.26 | Facility | None | $776.25 | $776.25 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $549.54 Median $676.08 Typical High $2,137.96 | Professional | None (both parts) | $549.54 | $676.08 | $2,137.96 |
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 $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | TC · Technical part | $8,128.31 | $8,128.31 | $8,128.31 |
Where Kansas sits
The same service costs 11.7 times more in Texas than in Ohio. 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· 15th of 51
$1,318
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.