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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $100.00 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.42 Typical High $32.36 | Professional | 26 · Professional part | $18.20 | $20.42 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $83.18 | $91.20 | $131.83 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $44.67 Median $131.83 Typical High $177.83 | Professional | None (both parts) | $44.67 | $131.83 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $234.42 Typical High $257.04 | Professional | None (both parts) | $102.33 | $234.42 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $66.07 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $66.07 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $169.82 Typical High $173.78 | Professional | TC · Technical part | $87.10 | $169.82 | $173.78 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $138.04 Typical High $173.78 | Facility | None | $58.88 | $138.04 | $173.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $275.42 Typical High $1,000.00 | Professional | None (both parts) | $128.82 | $275.42 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $281.84 | Professional | 26 · Professional part | $47.86 | $70.79 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $134.90 Typical High $724.44 | Professional | TC · Technical part | $70.79 | $134.90 | $724.44 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $245.47 | Facility | None | $154.88 | $154.88 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $147.91 Typical High $194.98 | Professional | None (both parts) | $61.66 | $147.91 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $50.12 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $64.57 | $112.20 | $144.54 |
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 $50.12 Median $54.95 Typical High $79.43 | Professional | 52 · Reduced service | $50.12 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $32.36 | Professional | 53 · Discontinued | $20.42 | $22.39 | $32.36 |
Where Kansas sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 22nd of 51
$151
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.