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 $436.52 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $436.52 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $102.33 | $114.82 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $380.19 Typical High $478.63 | Professional | TC · Technical part | $338.84 | $380.19 | $478.63 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $95.50 Median $380.19 Typical High $478.63 | Professional | None (both parts) | $95.50 | $380.19 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $323.59 | $588.84 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $128.82 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $234.42 | $467.74 | $467.74 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $562.34 Typical High $12,022.64 | Facility | None | $295.12 | $562.34 | $12,022.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $549.54 Typical High $3,162.28 | Professional | None (both parts) | $269.15 | $549.54 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $147.91 Typical High $645.65 | Professional | 26 · Professional part | $93.33 | $147.91 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $426.58 Typical High $2,570.40 | Professional | TC · Technical part | $173.78 | $426.58 | $2,570.40 |
United Setting Facility Modifier None Typical Low $295.12 Median $851.14 Typical High $1,905.46 | Facility | None | $295.12 | $851.14 | $1,905.46 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $616.60 | Professional | None (both parts) | $257.04 | $407.38 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $89.13 | $104.71 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $169.82 | $302.00 | $457.09 |
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 $223.87 Median $251.19 Typical High $309.03 | Professional | 52 · Reduced service | $223.87 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $100.00 Typical High $123.03 | Professional | 53 · Discontinued | $89.13 | $100.00 | $123.03 |
Where Kansas sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 26th of 51
$437
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.