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 $524.81 Median $831.76 Typical High $1,412.54 | Facility | None | $524.81 | $831.76 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $758.58 Typical High $812.83 | Professional | None (both parts) | $660.69 | $758.58 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $758.58 Typical High $812.83 | Professional | 26 · Professional part | $660.69 | $758.58 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $380.19 Typical High $407.38 | Professional | 52 · Reduced service | $323.59 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $151.36 Typical High $162.18 | Professional | 53 · Discontinued | $131.83 | $151.36 | $162.18 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $794.33 Typical High $1,737.80 | Facility | None | $691.83 | $794.33 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $758.58 Typical High $1,318.26 | Facility | None | $457.09 | $758.58 | $1,318.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $3,801.89 | Professional | None (both parts) | $457.09 | $457.09 | $3,801.89 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $758.58 | Facility | None | $457.09 | $457.09 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $1,288.25 | Professional | None (both parts) | $316.23 | $457.09 | $1,288.25 |
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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | TC · Technical part | $3,890.45 | $3,890.45 | $3,890.45 |
Where Kansas sits
The same service costs 12.0 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· 19th of 51
$759
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.