How much rates vary
Facilitymedian $5,248 · 10th to 90th $251 to $5,495Professionalmedian $447 · 10th to 90th $295 to $813
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 $501.19 Median $4,677.35 Typical High $9,549.93 | Facility | None | $501.19 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $446.68 | Professional | None (both parts) | $288.40 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $154.88 | Professional | 26 · Professional part | $104.71 | $147.91 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $275.42 | Professional | TC · Technical part | $186.21 | $263.03 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,248.07 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,248.07 | $5,495.41 | $5,495.41 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $489.78 | Professional | None (both parts) | $295.12 | $380.19 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $173.78 | Professional | 26 · Professional part | $104.71 | $138.04 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $316.23 | Professional | TC · Technical part | $190.55 | $245.47 | $316.23 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $426.58 Typical High $1,380.38 | Facility | None | $144.54 | $426.58 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $2,951.21 | Professional | None (both parts) | $309.03 | $446.68 | $2,951.21 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $1,445.44 | Professional | 26 · Professional part | $102.33 | $138.04 | $1,445.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $2,818.38 | Professional | TC · Technical part | $204.17 | $309.03 | $2,818.38 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $812.83 | Professional | None (both parts) | $309.03 | $446.68 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $138.04 Typical High $223.87 | Professional | 26 · Professional part | $100.00 | $138.04 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $204.17 | $309.03 | $562.34 |
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 $144.54 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $144.54 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $57.54 | $83.18 | $85.11 |
Where Kansas sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 4th of 51
$617
WI $891HI $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.