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 $134.90 Median $2,290.87 Typical High $3,801.89 | Facility | None | $134.90 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $125.89 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $91.20 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $93.33 | $95.50 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,096.48 Typical High $1,318.26 | Facility | None | $407.38 | $1,096.48 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $114.82 | $245.47 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $60.26 | $162.18 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $87.10 | Professional | TC · Technical part | $54.95 | $85.11 | $87.10 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $194.98 Typical High $239.88 | Facility | None | $165.96 | $194.98 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $275.42 Typical High $851.14 | Professional | None (both parts) | $128.82 | $275.42 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $154.88 Typical High $562.34 | Professional | 26 · Professional part | $69.18 | $154.88 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $128.82 Typical High $562.34 | Professional | TC · Technical part | $58.88 | $128.82 | $562.34 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $831.76 | Facility | None | $524.81 | $524.81 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $112.20 | $158.49 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $58.88 | $83.18 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $89.13 | Professional | TC · Technical part | $52.48 | $75.86 | $89.13 |
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 $91.20 Typical High $95.50 | Professional | 52 · Reduced service | $63.10 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $37.15 Typical High $38.02 | Professional | 53 · Discontinued | $25.12 | $37.15 | $38.02 |
Where Kansas sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 10th of 51
$191
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.