How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $1,412.54 Median $2,238.72 Typical High $3,801.89 | Facility | None | $1,412.54 | $2,238.72 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,089.30 Typical High $2,187.76 | Professional | None (both parts) | $1,778.28 | $2,089.30 | $2,187.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $1,047.13 Typical High $1,096.48 | Professional | 52 · Reduced service | $891.25 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $416.87 Typical High $436.52 | Professional | 53 · Discontinued | $354.81 | $416.87 | $436.52 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $4,570.88 | Facility | None | $1,862.09 | $2,137.96 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $3,019.95 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $3,801.89 | Facility | None | $1,380.38 | $1,905.46 | $3,801.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,258.93 Typical High $3,311.31 | Professional | None (both parts) | $870.96 | $1,258.93 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,089.30 | Facility | None | $1,258.93 | $1,258.93 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,258.93 Typical High $3,548.13 | Professional | None (both parts) | $870.96 | $1,258.93 | $3,548.13 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,778.28 Median $2,089.30 Typical High $2,187.76 | Professional | 26 · Professional part | $1,778.28 | $2,089.30 | $2,187.76 |
Where Kansas sits
The same service costs 354.8 times more in Wisconsin 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· 18th of 51
$2,089
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.