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 $39.81 Median $41.69 Typical High $61.66 | Facility | None | $39.81 | $41.69 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $39.81 Typical High $57.54 | Professional | None (both parts) | $36.31 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $25.70 | Professional | 26 · Professional part | $16.22 | $18.20 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.88 Typical High $31.62 | Professional | TC · Technical part | $19.95 | $21.88 | $31.62 |
BCBS Kansas Setting Facility Modifier None Typical Low $77.62 Median $81.28 Typical High $81.28 | Facility | None | $77.62 | $81.28 | $81.28 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $31.62 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $31.62 | $43.65 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $47.86 | $58.88 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $27.54 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $61.66 | Professional | TC · Technical part | $25.70 | $32.36 | $61.66 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $89.13 Typical High $91.20 | Facility | None | $52.48 | $89.13 | $91.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $338.84 | Professional | None (both parts) | $40.74 | $50.12 | $338.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $128.82 | Professional | 26 · Professional part | $18.62 | $22.91 | $128.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $223.87 | Professional | TC · Technical part | $22.39 | $26.92 | $223.87 |
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 $40.74 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $40.74 | $50.12 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $18.62 | $22.91 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $22.39 | $26.92 | $44.67 |
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 $18.20 Median $19.95 Typical High $28.84 | Professional | 52 · Reduced service | $18.20 | $19.95 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.94 Typical High $11.48 | Professional | 53 · Discontinued | $7.24 | $7.94 | $11.48 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 25th of 51
$50.12
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.