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 $912.01 Median $2,290.87 Typical High $3,801.89 | Facility | None | $912.01 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $954.99 Typical High $977.24 | Professional | None (both parts) | $630.96 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $208.93 Typical High $213.80 | Professional | 26 · Professional part | $138.04 | $208.93 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $891.25 Typical High $912.01 | Professional | TC · Technical part | $588.84 | $891.25 | $912.01 |
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 $912.01 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $912.01 | $912.01 | $912.01 |
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 $269.15 Median $446.68 Typical High $549.54 | Professional | None (both parts) | $269.15 | $446.68 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $234.42 Typical High $275.42 | Professional | 26 · Professional part | $138.04 | $234.42 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $213.80 Typical High $269.15 | Professional | TC · Technical part | $134.90 | $213.80 | $269.15 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $478.63 Typical High $1,023.29 | Facility | None | $389.05 | $478.63 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $407.38 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $407.38 | $2,454.71 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $151.36 | $1,148.15 | $1,148.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $1,258.93 Typical High $1,949.84 | Professional | TC · Technical part | $213.80 | $1,258.93 | $1,949.84 |
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 $380.19 Median $630.96 Typical High $1,096.48 | Professional | None (both parts) | $380.19 | $630.96 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $263.03 | Professional | 26 · Professional part | $131.83 | $194.98 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $501.19 Typical High $870.96 | Professional | TC · Technical part | $204.17 | $501.19 | $870.96 |
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 $323.59 Median $467.74 Typical High $489.78 | Professional | 52 · Reduced service | $323.59 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $190.55 Typical High $194.98 | Professional | 53 · Discontinued | $128.82 | $190.55 | $194.98 |
Where Kansas sits
The same service costs 3.1 times more in Alaska than in Washington. 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
$646
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.