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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | None (both parts) | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | 26 · Professional part | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | TC · Technical part | $25.12 | $25.12 | $28.18 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $17.78 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $17.78 | $26.92 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $91.20 Typical High $123.03 | Facility | None | $38.02 | $91.20 | $123.03 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $97.72 | Facility | None | $50.12 | $50.12 | $97.72 |
Medica Setting Professional Modifier None (both parts) Typical Low $58.88 Median $77.62 Typical High $549.54 | Professional | None (both parts) | $58.88 | $77.62 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $331.13 | Professional | 26 · Professional part | $35.48 | $45.71 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $218.78 | Professional | TC · Technical part | $23.44 | $30.90 | $218.78 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $69.18 | Facility | None | $43.65 | $43.65 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $61.66 | $74.13 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $44.67 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $24.55 | $30.20 | $56.23 |
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 $31.62 Median $31.62 Typical High $34.67 | Professional | 52 · Reduced service | $31.62 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | 53 · Discontinued | $12.59 | $12.59 | $13.80 |
Where Kansas sits
The same service costs 14.8 times more in Texas 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· 44th of 51
$58.88
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.