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 $1,348.96 Median $2,344.23 Typical High $3,630.78 | Facility | None | $1,348.96 | $2,344.23 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $1,348.96 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,659.59 Median $1,949.84 Typical High $2,089.30 | Professional | 26 · Professional part | $1,659.59 | $1,949.84 | $2,089.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $977.24 Typical High $1,023.29 | Professional | 52 · Reduced service | $831.76 | $977.24 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $389.05 Typical High $416.87 | Professional | 53 · Discontinued | $338.84 | $389.05 | $416.87 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $4,265.80 | Facility | None | $1,778.28 | $2,041.74 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $3,388.44 | Facility | None | $1,174.90 | $1,949.84 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $9,772.37 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $9,772.37 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,949.84 | Facility | None | $1,174.90 | $1,174.90 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,174.90 Typical High $3,311.31 | Professional | None (both parts) | $812.83 | $1,174.90 | $3,311.31 |
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 $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | TC · Technical part | $10,000.00 | $10,000.00 | $10,000.00 |
Where Kansas sits
The same service costs 16.6 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· 19th of 51
$1,950
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.