How much rates vary
Facilitymedian $316 · 10th to 90th $186 to $1,175Professionalmedian $617 · 10th to 90th $204 to $2,138
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 |
|---|---|---|---|---|---|
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $229.09 Typical High $269.15 | Professional | 26 · Professional part | $208.93 | $229.09 | $269.15 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $316.23 Typical High $1,174.90 | Facility | None | $186.21 | $316.23 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $616.60 Typical High $2,137.96 | Professional | None (both parts) | $204.17 | $616.60 | $2,137.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $309.03 Typical High $1,148.15 | Professional | 26 · Professional part | $204.17 | $309.03 | $1,148.15 |
1 more rate 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 |
|---|---|---|---|---|---|
Medica Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $380.19 Typical High $2,041.74 | Professional | TC · Technical part | $346.74 | $380.19 | $2,041.74 |