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 $251.19 Median $389.05 Typical High $660.69 | Facility | None | $251.19 | $389.05 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $380.19 | Professional | None (both parts) | $309.03 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $181.97 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $72.44 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $72.44 | $75.86 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $371.54 Typical High $794.33 | Facility | None | $323.59 | $371.54 | $794.33 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $363.08 Typical High $630.96 | Facility | None | $218.78 | $363.08 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $1,819.70 | Professional | None (both parts) | $218.78 | $218.78 | $1,819.70 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $363.08 | Facility | None | $218.78 | $218.78 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $616.60 | Professional | None (both parts) | $151.36 | $218.78 | $616.60 |
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 $309.03 Median $363.08 Typical High $380.19 | Professional | 26 · Professional part | $309.03 | $363.08 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $1,862.09 | $1,862.09 | $1,862.09 |
Where Kansas sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 14th of 51
$363
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.