How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $43.65 Median $43.65 Typical High $54.95 | Facility | None | $43.65 | $43.65 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $54.95 Typical High $79.43 | Professional | None (both parts) | $50.12 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $32.36 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.91 Typical High $33.11 | Professional | TC · Technical part | $20.89 | $22.91 | $33.11 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $28.84 Median $51.29 Typical High $85.11 | Professional | None (both parts) | $28.84 | $51.29 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $97.72 | Professional | None (both parts) | $64.57 | $79.43 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $48.98 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $37.15 | Professional | TC · Technical part | $25.70 | $32.36 | $37.15 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $75.86 Typical High $91.20 | Facility | None | $66.07 | $75.86 | $91.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $398.11 | Professional | None (both parts) | $54.95 | $67.61 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $346.74 | Professional | 26 · Professional part | $33.11 | $40.74 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $165.96 | Professional | TC · Technical part | $21.88 | $26.30 | $165.96 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $109.65 | Facility | None | $69.18 | $69.18 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $54.95 | $67.61 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $43.65 | Professional | 26 · Professional part | $33.11 | $40.74 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $21.38 | $26.30 | $26.30 |
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 $24.55 Median $27.54 Typical High $39.81 | Professional | 52 · Reduced service | $24.55 | $27.54 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.96 Typical High $15.85 | Professional | 53 · Discontinued | $10.00 | $10.96 | $15.85 |
Where Kansas sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 21st of 51
$64.57
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.