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 $3,630.78 Median $5,623.41 Typical High $9,549.93 | Facility | None | $3,630.78 | $5,623.41 | $9,549.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $5,248.07 Typical High $5,495.41 | Professional | None (both parts) | $4,466.84 | $5,248.07 | $5,495.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4,466.84 Median $5,248.07 Typical High $5,495.41 | Professional | 26 · Professional part | $4,466.84 | $5,248.07 | $5,495.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,238.72 Median $2,630.27 Typical High $2,754.23 | Professional | 52 · Reduced service | $2,238.72 | $2,630.27 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $891.25 Median $1,047.13 Typical High $1,096.48 | Professional | 53 · Discontinued | $891.25 | $1,047.13 | $1,096.48 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None (both parts) | $6,456.54 | $6,456.54 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $5,370.32 Typical High $11,748.98 | Facility | None | $4,677.35 | $5,370.32 | $11,748.98 |
Medica Setting Facility Modifier None Typical Low $4,570.88 Median $5,623.41 Typical High $9,120.11 | Facility | None | $4,570.88 | $5,623.41 | $9,120.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $26,302.68 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $26,302.68 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $3,162.28 Typical High $8,912.51 | Professional | None (both parts) | $2,187.76 | $3,162.28 | $8,912.51 |
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 $26,915.35 Median $26,915.35 Typical High $26,915.35 | Professional | TC · Technical part | $26,915.35 | $26,915.35 | $26,915.35 |
Where Kansas sits
The same service costs 416.9 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
$5,248
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.