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 $75.86 Median $75.86 Typical High $208.93 | Facility | None | $75.86 | $75.86 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $218.78 | Professional | None (both parts) | $186.21 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $107.15 | Professional | 26 · Professional part | $89.13 | $100.00 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $114.82 | Professional | TC · Technical part | $97.72 | $107.15 | $114.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $186.21 | Facility | None | $117.49 | $123.03 | $186.21 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $177.83 Typical High $489.78 | Facility | None | $107.15 | $177.83 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $102.33 | $316.23 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $52.48 | $131.83 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $181.97 Typical High $251.19 | Professional | TC · Technical part | $45.71 | $181.97 | $251.19 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $295.12 Typical High $489.78 | Facility | None | $229.09 | $295.12 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $1,412.54 | Professional | None (both parts) | $223.87 | $302.00 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $691.83 | Professional | 26 · Professional part | $104.71 | $138.04 | $691.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $912.01 | Professional | TC · Technical part | $107.15 | $158.49 | $912.01 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,479.11 | Facility | None | $954.99 | $954.99 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $138.04 | $234.42 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $117.49 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $69.18 | $114.82 | $190.55 |
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 $93.33 Median $104.71 Typical High $109.65 | Professional | 52 · Reduced service | $93.33 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $37.15 | $41.69 | $43.65 |
Where Kansas sits
The same service costs 6.9 times more in Alaska than in Alabama. 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· 41st of 51
$186
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.