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 $34.67 Median $46.77 Typical High $3,801.89 | Facility | None | $34.67 | $46.77 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $40.74 | Professional | None (both parts) | $26.92 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.75 Typical High $12.02 | Professional | 26 · Professional part | $7.94 | $11.75 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.18 Typical High $28.84 | Professional | TC · Technical part | $19.05 | $28.18 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $13.18 | Professional | 26 · Professional part | $12.30 | $12.30 | $13.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $478.63 | Facility | None | $457.09 | $478.63 | $478.63 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $61.66 Typical High $158.49 | Professional | None (both parts) | $28.18 | $61.66 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $15.49 Typical High $33.11 | Professional | 26 · Professional part | $7.94 | $15.49 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $45.71 Typical High $117.49 | Professional | TC · Technical part | $19.95 | $45.71 | $117.49 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $50.12 Typical High $52.48 | Facility | None | $33.88 | $50.12 | $52.48 |
Medica Setting Professional Modifier None (both parts) Typical Low $31.62 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $31.62 | $645.65 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $8.51 | $229.09 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $22.91 | $537.03 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $26.92 | $39.81 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $10.72 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.18 Typical High $50.12 | Professional | TC · Technical part | $19.05 | $28.18 | $50.12 |
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 $13.49 Median $19.95 Typical High $20.42 | Professional | 52 · Reduced service | $13.49 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $7.94 Typical High $8.13 | Professional | 53 · Discontinued | $5.37 | $7.94 | $8.13 |
Where Kansas sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 4th of 51
$60.26
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.