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 $2,454.71 Median $3,890.45 Typical High $6,606.93 | Facility | None | $2,454.71 | $3,890.45 | $6,606.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,630.78 Typical High $3,801.89 | Professional | None (both parts) | $3,090.30 | $3,630.78 | $3,801.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3,090.30 Median $3,630.78 Typical High $3,801.89 | Professional | 26 · Professional part | $3,090.30 | $3,630.78 | $3,801.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,548.82 Median $1,819.70 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,548.82 | $1,819.70 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $724.44 Typical High $758.58 | Professional | 53 · Discontinued | $616.60 | $724.44 | $758.58 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None (both parts) | $4,466.84 | $4,466.84 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $3,715.35 Typical High $8,128.31 | Facility | None | $3,235.94 | $3,715.35 | $8,128.31 |
Medica Setting Facility Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $6,309.57 | Facility | None | $2,137.96 | $3,630.78 | $6,309.57 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $17,782.79 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $17,782.79 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,630.78 | Facility | None | $2,137.96 | $2,137.96 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,137.96 Typical High $6,165.95 | Professional | None (both parts) | $1,513.56 | $2,137.96 | $6,165.95 |
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 $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | TC · Technical part | $18,620.87 | $18,620.87 | $18,620.87 |
Where Kansas sits
The same service costs 8.9 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· 13th of 51
$3,631
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.