How much rates vary
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 $354.81 Median $2,290.87 Typical High $3,801.89 | Facility | None | $354.81 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $346.74 Typical High $354.81 | Professional | None (both parts) | $234.42 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $102.33 Typical High $104.71 | Professional | 26 · Professional part | $67.61 | $102.33 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $251.19 | Professional | TC · Technical part | $169.82 | $245.47 | $251.19 |
BCBS Kansas Setting Facility Modifier None Typical Low $549.54 Median $575.44 Typical High $575.44 | Facility | None | $549.54 | $575.44 | $575.44 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,348.96 Typical High $1,819.70 | Facility | None | $549.54 | $1,348.96 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $354.81 Typical High $457.09 | Professional | None (both parts) | $234.42 | $354.81 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $128.82 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $128.82 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $338.84 | Professional | TC · Technical part | $177.83 | $223.87 | $338.84 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $436.52 | Facility | None | $281.84 | $338.84 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $245.47 | $1,445.44 | $1,445.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $70.79 | $512.86 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $173.78 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,023.29 | Facility | None | $645.65 | $645.65 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $407.38 | Professional | None (both parts) | $229.09 | $302.00 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $91.20 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $165.96 | $208.93 | $295.12 |
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 $117.49 Median $173.78 Typical High $177.83 | Professional | 52 · Reduced service | $117.49 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $46.77 | $69.18 | $70.79 |
Where Kansas sits
The same service costs 3.5 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· 12th of 51
$347
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.