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 $1,995.26 Median $3,162.28 Typical High $5,370.32 | Facility | None | $1,995.26 | $3,162.28 | $5,370.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,951.21 Typical High $3,090.30 | Professional | None (both parts) | $2,511.89 | $2,951.21 | $3,090.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,511.89 Median $2,951.21 Typical High $3,090.30 | Professional | 26 · Professional part | $2,511.89 | $2,951.21 | $3,090.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,445.44 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,258.93 | $1,445.44 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $588.84 Typical High $616.60 | Professional | 53 · Discontinued | $501.19 | $588.84 | $616.60 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $6,606.93 | Facility | None | $2,630.27 | $3,019.95 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $2,951.21 Typical High $5,128.61 | Facility | None | $1,737.80 | $2,951.21 | $5,128.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $14,454.40 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,951.21 | Facility | None | $1,737.80 | $1,737.80 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,737.80 Typical High $5,011.87 | Professional | None (both parts) | $1,230.27 | $1,737.80 | $5,011.87 |
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 $14,791.08 Median $14,791.08 Typical High $14,791.08 | Professional | TC · Technical part | $14,791.08 | $14,791.08 | $14,791.08 |
Where Kansas sits
The same service costs 30.9 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
$2,951
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.