How much rates vary
Facilitymedian $224 · 10th to 90th $209 to $331Professionalmedian $178 · 10th to 90th $110 to $355
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 $51.29 Median $51.29 Typical High $239.88 | Facility | None | $51.29 | $51.29 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $138.04 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $38.90 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $104.71 | $117.49 | $158.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $208.93 Median $223.87 Typical High $331.13 | Facility | None | $208.93 | $223.87 | $331.13 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $537.03 | Facility | None | $112.20 | $138.04 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $81.28 | $186.21 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $22.39 | $70.79 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $134.90 Typical High $181.97 | Professional | TC · Technical part | $57.54 | $134.90 | $181.97 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $251.19 | Facility | None | $173.78 | $173.78 | $251.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $1,148.15 | Professional | None (both parts) | $125.89 | $177.83 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $323.59 | Professional | 26 · Professional part | $44.67 | $63.10 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $131.83 Typical High $870.96 | Professional | TC · Technical part | $79.43 | $131.83 | $870.96 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $316.23 | Facility | None | $199.53 | $199.53 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $109.65 | $177.83 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $27.54 | $45.71 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $131.83 Typical High $181.97 | Professional | TC · Technical part | $69.18 | $131.83 | $181.97 |
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 $69.18 Median $77.62 Typical High $83.18 | Professional | 52 · Reduced service | $69.18 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $30.90 | $33.11 |
Where Kansas sits
The same service costs 4.9 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· 13th of 51
$224
AK $468AL $95.50
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.