How much rates vary
Facilitymedian $339 · 10th to 90th $36 to $794Professionalmedian $52 · 10th to 90th $45 to $102
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 $40.74 Median $53.70 Typical High $75.86 | Facility | None | $40.74 | $53.70 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $66.07 | Professional | None (both parts) | $44.67 | $52.48 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $26.92 | $30.90 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $25.12 | Professional | TC · Technical part | $17.78 | $21.88 | $25.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $75.86 | Professional | None (both parts) | $39.81 | $46.77 | $75.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $30.20 Median $338.84 Typical High $363.08 | Facility | None | $30.20 | $338.84 | $363.08 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $69.18 | Professional | None (both parts) | $52.48 | $52.48 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $36.31 Typical High $36.31 | Facility | None | $24.55 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $47.86 | $70.79 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $42.66 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.92 Typical High $38.02 | Professional | TC · Technical part | $17.78 | $26.92 | $38.02 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $302.00 Typical High $1,288.25 | Facility | None | $54.95 | $302.00 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $354.81 | Professional | None (both parts) | $44.67 | $54.95 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $208.93 | Professional | 26 · Professional part | $27.54 | $38.90 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.50 Typical High $147.91 | Professional | TC · Technical part | $15.14 | $19.50 | $147.91 |
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 $44.67 Median $48.98 Typical High $83.18 | Professional | None (both parts) | $44.67 | $48.98 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $33.11 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $16.98 Typical High $33.11 | Professional | TC · Technical part | $13.18 | $16.98 | $33.11 |
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 $22.39 Median $26.30 Typical High $26.92 | Professional | 52 · Reduced service | $22.39 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.47 Typical High $10.72 | Professional | 53 · Discontinued | $8.91 | $10.47 | $10.72 |
Where Kansas sits
The same service costs 6.5 times more in Minnesota 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· 17th of 51
$69.18
MN $295KY $45.71
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.