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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $20.89 Typical High $36.31 | Professional | None (both parts) | $16.60 | $20.89 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $16.98 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $4.27 Typical High $7.24 | Professional | TC · Technical part | $3.55 | $4.27 | $7.24 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $537.03 Typical High $1,023.29 | Facility | None | $302.00 | $537.03 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $26.92 Typical High $72.44 | Professional | None (both parts) | $18.62 | $26.92 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.38 Typical High $23.99 | Professional | 26 · Professional part | $15.49 | $17.38 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $4.68 Typical High $47.86 | Professional | TC · Technical part | $3.16 | $4.68 | $47.86 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $51.29 Typical High $64.57 | Facility | None | $21.88 | $51.29 | $64.57 |
Medica Setting Professional Modifier None (both parts) Typical Low $15.14 Median $21.88 Typical High $263.03 | Professional | None (both parts) | $15.14 | $21.88 | $263.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.98 Typical High $85.11 | Professional | 26 · Professional part | $11.75 | $16.98 | $85.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $4.07 Typical High $208.93 | Professional | TC · Technical part | $2.75 | $4.07 | $208.93 |
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 $14.45 Median $20.89 Typical High $45.71 | Professional | None (both parts) | $14.45 | $20.89 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.98 Typical High $17.78 | Professional | 26 · Professional part | $11.75 | $16.98 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $3.89 Typical High $30.20 | Professional | TC · Technical part | $2.75 | $3.89 | $30.20 |
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 $8.32 Median $10.47 Typical High $18.20 | Professional | 52 · Reduced service | $8.32 | $10.47 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.17 Typical High $7.24 | Professional | 53 · Discontinued | $3.39 | $4.17 | $7.24 |
Where Kansas sits
The same service costs 2.6 times more in California than in New York. 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· 15th of 51
$21.88
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.