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 $269.15 Median $1,047.13 Typical High $3,801.89 | Facility | None | $269.15 | $1,047.13 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $295.12 Typical High $302.00 | Professional | None (both parts) | $199.53 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $117.49 | Professional | 26 · Professional part | $75.86 | $114.82 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $186.21 | Professional | TC · Technical part | $125.89 | $181.97 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | 26 · Professional part | $112.20 | $112.20 | $123.03 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
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 $186.21 Median $416.87 Typical High $426.58 | Professional | None (both parts) | $186.21 | $416.87 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $151.36 Typical High $204.17 | Professional | 26 · Professional part | $75.86 | $151.36 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $120.23 | $218.78 | $288.40 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $380.19 | Facility | None | $281.84 | $338.84 | $380.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $194.98 | $1,659.59 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $81.28 | $724.44 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $120.23 | $977.24 | $977.24 |
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 $177.83 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $177.83 | $269.15 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $102.33 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $165.96 | $223.87 |
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 $100.00 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $100.00 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $58.88 Typical High $60.26 | Professional | 53 · Discontinued | $39.81 | $58.88 | $60.26 |
Where Kansas sits
The same service costs 3.9 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
$309
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.