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 $489.78 Median $870.96 Typical High $1,318.26 | Facility | None | $489.78 | $870.96 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $758.58 | Professional | None (both parts) | $724.44 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $724.44 Typical High $758.58 | Professional | 26 · Professional part | $616.60 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $363.08 Typical High $380.19 | Professional | 52 · Reduced service | $309.03 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $144.54 Typical High $151.36 | Professional | 53 · Discontinued | $123.03 | $144.54 | $151.36 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $741.31 Typical High $1,621.81 | Facility | None | $645.65 | $741.31 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $724.44 Typical High $1,258.93 | Facility | None | $436.52 | $724.44 | $1,258.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $3,548.13 | Professional | None (both parts) | $436.52 | $436.52 | $3,548.13 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $724.44 | Facility | None | $436.52 | $436.52 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $1,230.27 | Professional | None (both parts) | $302.00 | $436.52 | $1,230.27 |
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 $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | TC · Technical part | $4,466.84 | $4,466.84 | $4,466.84 |
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· 19th of 51
$724
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.