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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $125.89 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $31.62 | Professional | 26 · Professional part | $14.45 | $18.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $141.25 | $239.88 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $512.86 | Facility | None | $158.49 | $316.23 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $181.97 | Professional | None (both parts) | $117.49 | $147.91 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $33.88 | Professional | 26 · Professional part | $17.38 | $19.50 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $128.82 | $147.91 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $112.20 Typical High $263.03 | Facility | None | $104.71 | $112.20 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $794.33 | Professional | None (both parts) | $97.72 | $138.04 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $134.90 | Professional | 26 · Professional part | $13.18 | $19.05 | $134.90 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $707.95 | Professional | TC · Technical part | $83.18 | $117.49 | $707.95 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $239.88 | Facility | None | $151.36 | $151.36 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $144.54 | Professional | None (both parts) | $97.72 | $138.04 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $20.42 | Professional | 26 · Professional part | $13.18 | $19.05 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $117.49 | $123.03 |
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 $63.10 Median $79.43 Typical High $134.90 | Professional | 52 · Reduced service | $63.10 | $79.43 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $31.62 Typical High $54.95 | Professional | 53 · Discontinued | $25.12 | $31.62 | $54.95 |
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· 17th of 51
$138
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.