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 $2,884.03 Median $4,570.88 Typical High $7,762.47 | Facility | None | $2,884.03 | $4,570.88 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,073.80 Median $4,168.69 Typical High $4,466.84 | Professional | None (both parts) | $4,073.80 | $4,168.69 | $4,466.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,778.28 Median $2,089.30 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,778.28 | $2,089.30 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $831.76 Typical High $891.25 | Professional | 53 · Discontinued | $724.44 | $831.76 | $891.25 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None (both parts) | $5,248.07 | $5,248.07 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $4,365.16 Typical High $9,120.11 | Facility | None | $3,801.89 | $4,365.16 | $9,120.11 |
Medica Setting Facility Modifier None Typical Low $2,511.89 Median $4,168.69 Typical High $7,244.36 | Facility | None | $2,511.89 | $4,168.69 | $7,244.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $20,892.96 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $20,892.96 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,168.69 | Facility | None | $2,511.89 | $2,511.89 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,511.89 Typical High $7,079.46 | Professional | None (both parts) | $1,737.80 | $2,511.89 | $7,079.46 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3,630.78 Median $4,168.69 Typical High $4,466.84 | Professional | 26 · Professional part | $3,630.78 | $4,168.69 | $4,466.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21,379.62 Median $21,379.62 Typical High $21,379.62 | Professional | TC · Technical part | $21,379.62 | $21,379.62 | $21,379.62 |
Where Kansas sits
The same service costs 67.6 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· 21st of 51
$4,169
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.