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 $51.29 Median $2,290.87 Typical High $3,801.89 | Facility | None | $51.29 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $52.48 | Professional | None (both parts) | $34.67 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.89 Typical High $21.38 | Professional | 26 · Professional part | $13.80 | $20.89 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.20 Typical High $30.90 | Professional | TC · Technical part | $20.89 | $30.20 | $30.90 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $144.54 Typical High $194.98 | Facility | None | $61.66 | $144.54 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $32.36 | $223.87 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $13.49 | $69.18 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $18.62 | $147.91 | $147.91 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $58.88 Typical High $66.07 | Facility | None | $47.86 | $58.88 | $66.07 |
Medica Setting Professional Modifier None (both parts) Typical Low $37.15 Median $83.18 Typical High $363.08 | Professional | None (both parts) | $37.15 | $83.18 | $363.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $33.88 Typical High $223.87 | Professional | 26 · Professional part | $14.79 | $33.88 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $60.26 Typical High $281.84 | Professional | TC · Technical part | $21.88 | $60.26 | $281.84 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $109.65 | Facility | None | $69.18 | $69.18 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $45.71 Typical High $70.79 | Professional | None (both parts) | $30.90 | $45.71 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $22.39 | Professional | 26 · Professional part | $12.88 | $18.20 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.70 Typical High $48.98 | Professional | TC · Technical part | $18.20 | $25.70 | $48.98 |
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 $17.38 Median $25.70 Typical High $26.30 | Professional | 52 · Reduced service | $17.38 | $25.70 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $10.23 Typical High $10.47 | Professional | 53 · Discontinued | $6.92 | $10.23 | $10.47 |
Where Kansas sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 5th of 51
$66.07
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.