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 $316.23 Median $354.81 Typical High $446.68 | Professional | None (both parts) | $316.23 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $112.20 Typical High $138.04 | Professional | 26 · Professional part | $97.72 | $112.20 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $302.00 | Professional | TC · Technical part | $218.78 | $245.47 | $302.00 |
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 $107.15 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $107.15 | $275.42 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $436.52 Typical High $436.52 | Facility | None | $165.96 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $295.12 | $426.58 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $123.03 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $302.00 Typical High $380.19 | Professional | TC · Technical part | $204.17 | $302.00 | $380.19 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $549.54 Typical High $12,022.64 | Facility | None | $158.49 | $549.54 | $12,022.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $2,238.72 | Professional | None (both parts) | $309.03 | $407.38 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $691.83 | Professional | 26 · Professional part | $91.20 | $109.65 | $691.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $1,584.89 | Professional | TC · Technical part | $218.78 | $295.12 | $1,584.89 |
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 $295.12 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $295.12 | $338.84 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $102.33 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $204.17 | $239.88 | $407.38 |
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 $158.49 Median $177.83 Typical High $218.78 | Professional | 52 · Reduced service | $158.49 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $70.79 Typical High $89.13 | Professional | 53 · Discontinued | $63.10 | $70.79 | $89.13 |
Where Kansas sits
The same service costs 4.8 times more in Alaska 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· 27th of 51
$380
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.