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 $549.54 Median $870.96 Typical High $1,479.11 | Facility | None | $549.54 | $870.96 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $776.25 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $794.33 Typical High $851.14 | Professional | 26 · Professional part | $676.08 | $794.33 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $398.11 Typical High $416.87 | Professional | 52 · Reduced service | $338.84 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $158.49 Typical High $169.82 | Professional | 53 · Discontinued | $138.04 | $158.49 | $169.82 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,737.80 | Facility | None | $724.44 | $831.76 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $1,380.38 | Facility | None | $478.63 | $794.33 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $3,981.07 | Professional | None (both parts) | $478.63 | $478.63 | $3,981.07 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $794.33 | Facility | None | $478.63 | $478.63 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $1,348.96 | Professional | None (both parts) | $331.13 | $478.63 | $1,348.96 |
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 $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | TC · Technical part | $4,073.80 | $4,073.80 | $4,073.80 |
Where Kansas sits
The same service costs 12.0 times more in Texas 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· 13th of 51
$794
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.