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 $436.52 Median $691.83 Typical High $1,174.90 | Facility | None | $436.52 | $691.83 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $512.86 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $630.96 Typical High $676.08 | Professional | 26 · Professional part | $549.54 | $630.96 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $316.23 Typical High $338.84 | Professional | 52 · Reduced service | $275.42 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $125.89 Typical High $134.90 | Professional | 53 · Discontinued | $109.65 | $125.89 | $134.90 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $660.69 Typical High $1,445.44 | Facility | None | $575.44 | $660.69 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $630.96 Typical High $1,096.48 | Facility | None | $380.19 | $630.96 | $1,096.48 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $3,162.28 | Professional | None (both parts) | $380.19 | $380.19 | $3,162.28 |
United Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $630.96 | Facility | None | $380.19 | $380.19 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $1,071.52 | Professional | None (both parts) | $269.15 | $380.19 | $1,071.52 |
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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | TC · Technical part | $3,235.94 | $3,235.94 | $3,235.94 |
Where Kansas sits
The same service costs 11.7 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· 21st of 51
$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.