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 $1,479.11 Median $2,290.87 Typical High $3,890.45 | Facility | None | $1,479.11 | $2,290.87 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $2,238.72 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,238.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,819.70 Median $2,137.96 Typical High $2,238.72 | Professional | 26 · Professional part | $1,819.70 | $2,137.96 | $2,238.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $1,071.52 Typical High $1,122.02 | Professional | 52 · Reduced service | $912.01 | $1,071.52 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $426.58 Typical High $446.68 | Professional | 53 · Discontinued | $363.08 | $426.58 | $446.68 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None (both parts) | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,187.76 Typical High $4,786.30 | Facility | None | $1,905.46 | $2,187.76 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $3,715.35 | Facility | None | $1,862.09 | $2,290.87 | $3,715.35 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $10,471.29 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,288.25 Typical High $3,630.78 | Professional | None (both parts) | $891.25 | $1,288.25 | $3,630.78 |
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 $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | TC · Technical part | $10,964.78 | $10,964.78 | $10,964.78 |
Where Kansas sits
The same service costs 229.1 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· 19th of 51
$2,138
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.