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 $1,778.28 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,778.28 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,570.40 Typical High $2,754.23 | Professional | None (both parts) | $2,238.72 | $2,570.40 | $2,754.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,238.72 Median $2,570.40 Typical High $2,754.23 | Professional | 26 · Professional part | $2,238.72 | $2,570.40 | $2,754.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,288.25 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,096.48 | $1,288.25 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $512.86 Typical High $549.54 | Professional | 53 · Discontinued | $446.68 | $512.86 | $549.54 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $5,888.44 | Facility | None | $2,344.23 | $2,691.53 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $4,466.84 | Facility | None | $2,238.72 | $2,754.23 | $4,466.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $12,882.50 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,548.82 Typical High $4,365.16 | Professional | None (both parts) | $1,071.52 | $1,548.82 | $4,365.16 |
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 $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | TC · Technical part | $13,182.57 | $13,182.57 | $13,182.57 |
Where Kansas sits
The same service costs 204.2 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· 22nd of 51
$2,570
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.