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 $190.55 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $190.55 | $218.78 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $43.65 | $52.48 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $213.80 | Professional | TC · Technical part | $141.25 | $169.82 | $213.80 |
BCBS Kansas Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $208.93 | Facility | None | $199.53 | $199.53 | $208.93 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $95.50 | $162.18 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $380.19 | Facility | None | $117.49 | $117.49 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $426.58 | Professional | None (both parts) | $144.54 | $218.78 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $134.90 | Professional | 26 · Professional part | $40.74 | $57.54 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $147.91 Typical High $295.12 | Professional | TC · Technical part | $93.33 | $147.91 | $295.12 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $302.00 Typical High $1,380.38 | Facility | None | $54.95 | $302.00 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $1,548.82 | Professional | None (both parts) | $162.18 | $234.42 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $912.01 | Professional | 26 · Professional part | $43.65 | $64.57 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $177.83 Typical High $1,122.02 | Professional | TC · Technical part | $123.03 | $177.83 | $1,122.02 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $162.18 | $190.55 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $48.98 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $141.25 | $263.03 |
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 $95.50 Median $107.15 Typical High $131.83 | Professional | 52 · Reduced service | $95.50 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $42.66 Typical High $52.48 | Professional | 53 · Discontinued | $38.02 | $42.66 | $52.48 |
Where Kansas sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 29th of 51
$209
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.