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 $25.12 Median $25.12 Typical High $48.98 | Facility | None | $25.12 | $25.12 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $25.12 Typical High $45.71 | Professional | None (both parts) | $22.91 | $25.12 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $9.55 | $10.47 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $43.65 Typical High $57.54 | Professional | TC · Technical part | $30.90 | $43.65 | $57.54 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $27.54 Median $104.71 Typical High $120.23 | Professional | None (both parts) | $27.54 | $104.71 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $128.82 | Professional | None (both parts) | $60.26 | $60.26 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $28.84 | Professional | 26 · Professional part | $12.88 | $12.88 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $100.00 | Professional | TC · Technical part | $47.86 | $47.86 | $100.00 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $165.96 | Facility | None | $51.29 | $74.13 | $165.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $630.96 | Professional | None (both parts) | $51.29 | $61.66 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $331.13 | Professional | 26 · Professional part | $10.96 | $13.49 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $537.03 | Professional | TC · Technical part | $40.74 | $48.98 | $537.03 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $831.76 | Facility | None | $524.81 | $524.81 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $70.79 | Professional | None (both parts) | $51.29 | $61.66 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $10.96 | $13.49 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $40.74 | $48.98 | $57.54 |
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 $11.48 Median $12.59 Typical High $19.95 | Professional | 52 · Reduced service | $11.48 | $12.59 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.01 Typical High $8.13 | Professional | 53 · Discontinued | $4.68 | $5.01 | $8.13 |
Where Kansas sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 7th of 51
$61.66
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.