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 $416.87 Median $724.44 Typical High $1,122.02 | Facility | None | $416.87 | $724.44 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $602.56 Typical High $645.65 | Professional | None (both parts) | $524.81 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $602.56 Typical High $645.65 | Professional | 26 · Professional part | $524.81 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $302.00 Typical High $323.59 | Professional | 52 · Reduced service | $263.03 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $123.03 Typical High $128.82 | Professional | 53 · Discontinued | $104.71 | $123.03 | $128.82 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $630.96 Typical High $1,380.38 | Facility | None | $549.54 | $630.96 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $602.56 Typical High $1,047.13 | Facility | None | $363.08 | $602.56 | $1,047.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $3,019.95 | Professional | None (both parts) | $363.08 | $363.08 | $3,019.95 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $602.56 | Facility | None | $363.08 | $363.08 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $1,023.29 | Professional | None (both parts) | $257.04 | $363.08 | $1,023.29 |
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 $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
Where Kansas sits
The same service costs 47.9 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· 17th of 51
$603
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.