How much rates vary
Facilitymedian $47 · 10th to 90th $45 to $98Professionalmedian $110 · 10th to 90th $78 to $562
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 $125.89 Median $2,290.87 Typical High $3,801.89 | Facility | None | $125.89 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $128.82 | Professional | None (both parts) | $85.11 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $60.26 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $60.26 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $67.61 | Professional | TC · Technical part | $44.67 | $64.57 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $44.67 Median $46.77 Typical High $46.77 | Facility | None | $44.67 | $46.77 | $46.77 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $91.20 Typical High $123.03 | Facility | None | $38.02 | $91.20 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $67.61 | $141.25 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $79.43 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $26.92 | $60.26 | $60.26 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $138.04 | Facility | None | $83.18 | $107.15 | $138.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $117.49 Typical High $562.34 | Professional | None (both parts) | $77.62 | $117.49 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $234.42 | Professional | 26 · Professional part | $47.86 | $72.44 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $56.23 Typical High $288.40 | Professional | TC · Technical part | $26.92 | $56.23 | $288.40 |
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 $72.44 Median $89.13 Typical High $114.82 | Professional | None (both parts) | $72.44 | $89.13 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $39.81 | $51.29 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $37.15 | $58.88 |
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 $42.66 Median $63.10 Typical High $64.57 | Professional | 52 · Reduced service | $42.66 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $25.12 Typical High $25.70 | Professional | 53 · Discontinued | $16.98 | $25.12 | $25.70 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in New York. 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
$110
AK $182NY $53.70
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.