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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $63.10 | $81.28 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $43.65 | $56.23 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $41.69 | Professional | TC · Technical part | $19.50 | $23.99 | $41.69 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $426.58 | Facility | None | $125.89 | $331.13 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $72.44 | $89.13 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $51.29 | $64.57 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $30.90 | Professional | TC · Technical part | $20.42 | $25.12 | $30.90 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $141.25 Typical High $239.88 | Facility | None | $63.10 | $141.25 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $407.38 | Professional | None (both parts) | $74.13 | $104.71 | $407.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $281.84 | Professional | 26 · Professional part | $52.48 | $75.86 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.20 Typical High $125.89 | Professional | TC · Technical part | $20.89 | $30.20 | $125.89 |
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 $64.57 Median $79.43 Typical High $125.89 | Professional | None (both parts) | $64.57 | $79.43 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $45.71 | $57.54 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $38.02 | Professional | TC · Technical part | $18.62 | $22.39 | $38.02 |
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 $31.62 Median $40.74 Typical High $69.18 | Professional | 52 · Reduced service | $31.62 | $40.74 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.22 Typical High $27.54 | Professional | 53 · Discontinued | $12.59 | $16.22 | $27.54 |
Where Kansas sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 13th of 51
$89.13
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.