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 $1,819.70 Median $3,162.28 Typical High $4,897.79 | Facility | None | $1,819.70 | $3,162.28 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,570.40 Typical High $2,818.38 | Professional | None (both parts) | $1,995.26 | $2,570.40 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,290.87 Median $2,630.27 Typical High $2,818.38 | Professional | 26 · Professional part | $2,290.87 | $2,630.27 | $2,818.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,148.15 Median $1,318.26 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,148.15 | $1,318.26 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $524.81 Typical High $562.34 | Professional | 53 · Discontinued | $457.09 | $524.81 | $562.34 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $5,888.44 | Facility | None | $2,398.83 | $2,754.23 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,584.89 | $2,630.27 | $4,570.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $13,182.57 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $13,182.57 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,630.27 | Facility | None | $1,584.89 | $1,584.89 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,584.89 Typical High $4,466.84 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $4,466.84 |
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 $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | TC · Technical part | $13,489.63 | $13,489.63 | $13,489.63 |
Where Kansas sits
The same service costs 33.9 times more in Texas than in Ohio. 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· 21st of 51
$2,630
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.