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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | None (both parts) | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | 26 · Professional part | $22.91 | $22.91 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | TC · Technical part | $22.39 | $22.39 | $25.12 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.20 Typical High $54.95 | Professional | None (both parts) | $24.55 | $30.20 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $70.79 Typical High $81.28 | Facility | None | $26.92 | $70.79 | $81.28 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $70.79 | Facility | None | $39.81 | $39.81 | $70.79 |
Medica Setting Professional Modifier None (both parts) Typical Low $51.29 Median $70.79 Typical High $389.05 | Professional | None (both parts) | $51.29 | $70.79 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $194.98 | Professional | 26 · Professional part | $25.12 | $35.48 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $194.98 | Professional | TC · Technical part | $25.70 | $35.48 | $194.98 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $53.70 | Facility | None | $33.88 | $33.88 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $60.26 Typical High $72.44 | Professional | None (both parts) | $46.77 | $60.26 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $22.91 | $29.51 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $37.15 | Professional | TC · Technical part | $23.99 | $30.20 | $37.15 |
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 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 52 · Reduced service | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.77 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.77 |
Where Kansas sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 34th of 51
$46.77
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.