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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $181.97 | $199.53 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $39.81 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $144.54 | $158.49 | $229.09 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $66.07 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $66.07 | $194.98 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $204.17 | $407.38 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $97.72 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $154.88 | $309.03 | $309.03 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $346.74 | Facility | None | $213.80 | $295.12 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $363.08 Typical High $1,479.11 | Professional | None (both parts) | $204.17 | $363.08 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $309.03 | Professional | 26 · Professional part | $48.98 | $85.11 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $281.84 Typical High $1,202.26 | Professional | TC · Technical part | $158.49 | $281.84 | $1,202.26 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $398.11 | Facility | None | $251.19 | $251.19 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $199.53 | $234.42 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $47.86 | $53.70 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $151.36 | $173.78 | $263.03 |
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 $91.20 Median $100.00 Typical High $144.54 | Professional | 52 · Reduced service | $91.20 | $100.00 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $57.54 | Professional | 53 · Discontinued | $36.31 | $39.81 | $57.54 |
Where Kansas sits
The same service costs 3.0 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· 31st of 51
$234
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.