How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $331.13 | Professional | None (both parts) | $239.88 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $100.00 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $151.36 | $169.82 | $208.93 |
BCBS Kansas Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $100.00 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $100.00 | $204.17 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $436.52 Typical High $436.52 | Facility | None | $144.54 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $213.80 | $302.00 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $363.08 | Professional | 26 · Professional part | $77.62 | $109.65 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $131.83 | $190.55 | $281.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $380.19 Typical High $1,659.59 | Facility | None | $54.95 | $380.19 | $1,659.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $1,698.24 | Professional | None (both parts) | $229.09 | $309.03 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $588.84 | Professional | 26 · Professional part | $81.28 | $95.50 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $1,122.02 | Professional | TC · Technical part | $144.54 | $208.93 | $1,122.02 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $213.80 | $251.19 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $79.43 | $93.33 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $138.04 | $158.49 | $275.42 |
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 $117.49 Median $134.90 Typical High $165.96 | Professional | 52 · Reduced service | $117.49 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $53.70 Typical High $66.07 | Professional | 53 · Discontinued | $47.86 | $53.70 | $66.07 |
Where Kansas sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 25th of 51
$282
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.