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 $112.20 Median $2,290.87 Typical High $3,801.89 | Facility | None | $112.20 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $77.62 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $58.88 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $53.70 Typical High $56.23 | Professional | TC · Technical part | $37.15 | $53.70 | $56.23 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $100.00 Typical High $104.71 | Professional | None (both parts) | $66.07 | $100.00 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $54.95 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $43.65 Typical High $45.71 | Professional | TC · Technical part | $25.70 | $43.65 | $45.71 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $102.33 Typical High $123.03 | Facility | None | $69.18 | $102.33 | $123.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $457.09 | Professional | None (both parts) | $74.13 | $107.15 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $229.09 | Professional | 26 · Professional part | $45.71 | $63.10 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $44.67 Typical High $229.09 | Professional | TC · Technical part | $28.18 | $44.67 | $229.09 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $69.18 | Facility | None | $43.65 | $43.65 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $67.61 | $89.13 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $53.70 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $44.67 | Professional | TC · Technical part | $26.92 | $33.88 | $44.67 |
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 $38.02 Median $56.23 Typical High $57.54 | Professional | 52 · Reduced service | $38.02 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $15.49 | $22.39 | $23.44 |
Where Kansas sits
The same service costs 3.3 times more in Alaska 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· 14th of 51
$95.50
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.