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 $245.47 Median $354.81 Typical High $371.54 | Professional | None (both parts) | $245.47 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $144.54 Typical High $147.91 | Professional | 26 · Professional part | $95.50 | $144.54 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $213.80 | $223.87 |
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 $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $446.68 Typical High $501.19 | Professional | None (both parts) | $251.19 | $446.68 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $89.13 | $141.25 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $309.03 Typical High $380.19 | Professional | TC · Technical part | $151.36 | $309.03 | $380.19 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $446.68 | Facility | None | $371.54 | $446.68 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $251.19 | $1,479.11 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $83.18 | $562.34 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $1,174.90 Typical High $1,174.90 | Professional | TC · Technical part | $173.78 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $234.42 | $338.84 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $102.33 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $147.91 | $213.80 | $331.13 |
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 $123.03 Median $177.83 Typical High $181.97 | Professional | 52 · Reduced service | $123.03 | $177.83 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $48.98 | $70.79 | $74.13 |
Where Kansas sits
The same service costs 4.7 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
$380
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.