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 $275.42 Median $2,290.87 Typical High $3,801.89 | Facility | None | $275.42 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $288.40 | Professional | None (both parts) | $190.55 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $144.54 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $144.54 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $138.04 | Professional | TC · Technical part | $93.33 | $134.90 | $138.04 |
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 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $380.19 Typical High $426.58 | Professional | None (both parts) | $194.98 | $380.19 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $154.88 Typical High $194.98 | Professional | 26 · Professional part | $100.00 | $154.88 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $190.55 Typical High $275.42 | Professional | TC · Technical part | $97.72 | $190.55 | $275.42 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $436.52 Typical High $489.78 | Facility | None | $134.90 | $436.52 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $281.84 | $1,230.27 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $104.71 | $549.54 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $501.19 Typical High $1,096.48 | Professional | TC · Technical part | $181.97 | $501.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $501.19 | Professional | None (both parts) | $269.15 | $380.19 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $169.82 | Professional | 26 · Professional part | $93.33 | $131.83 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $346.74 | Professional | TC · Technical part | $173.78 | $251.19 | $346.74 |
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 $95.50 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $95.50 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $56.23 Typical High $57.54 | Professional | 53 · Discontinued | $38.02 | $56.23 | $57.54 |
Where Kansas sits
The same service costs 3.1 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· 5th of 51
$427
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.