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 $3,467.37 Median $5,495.41 Typical High $9,120.11 | Facility | None | $3,467.37 | $5,495.41 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $5,011.87 Typical High $5,248.07 | Professional | None (both parts) | $4,265.80 | $5,011.87 | $5,248.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,137.96 Median $2,511.89 Typical High $2,630.27 | Professional | 52 · Reduced service | $2,137.96 | $2,511.89 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $851.14 Median $1,000.00 Typical High $1,071.52 | Professional | 53 · Discontinued | $851.14 | $1,000.00 | $1,071.52 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None (both parts) | $6,309.57 | $6,309.57 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $5,128.61 Typical High $10,964.78 | Facility | None | $4,466.84 | $5,128.61 | $10,964.78 |
Medica Setting Facility Modifier None Typical Low $4,365.16 Median $5,370.32 Typical High $8,709.64 | Facility | None | $4,365.16 | $5,370.32 | $8,709.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $25,118.86 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $25,118.86 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,019.95 Typical High $8,511.38 | Professional | None (both parts) | $2,089.30 | $3,019.95 | $8,511.38 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4,265.80 Median $5,011.87 Typical High $5,248.07 | Professional | 26 · Professional part | $4,265.80 | $5,011.87 | $5,248.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25,703.96 Median $25,703.96 Typical High $25,703.96 | Professional | TC · Technical part | $25,703.96 | $25,703.96 | $25,703.96 |
Where Kansas sits
The same service costs 12.0 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· 17th of 51
$5,012
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.