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 $512.86 Median $812.83 Typical High $1,380.38 | Facility | None | $512.86 | $812.83 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $741.31 Typical High $794.33 | Professional | None (both parts) | $645.65 | $741.31 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $645.65 Median $741.31 Typical High $794.33 | Professional | 26 · Professional part | $645.65 | $741.31 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $371.54 Typical High $389.05 | Professional | 52 · Reduced service | $316.23 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $147.91 Typical High $158.49 | Professional | 53 · Discontinued | $128.82 | $147.91 | $158.49 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $1,698.24 | Facility | None | $676.08 | $776.25 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $794.33 Typical High $1,288.25 | Facility | None | $645.65 | $794.33 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $3,715.35 | Professional | None (both parts) | $446.68 | $446.68 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $1,258.93 | Professional | None (both parts) | $309.03 | $446.68 | $1,258.93 |
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 $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | TC · Technical part | $3,801.89 | $3,801.89 | $3,801.89 |
Where Kansas sits
The same service costs 58.9 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· 14th of 51
$741
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.