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 $1,479.11 Median $4,365.16 Typical High $12,589.25 | Facility | None | $1,479.11 | $4,365.16 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,288.25 Typical High $1,548.82 | Professional | None (both parts) | $891.25 | $1,288.25 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $204.17 Typical High $213.80 | Professional | 26 · Professional part | $144.54 | $204.17 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,096.48 Typical High $1,122.02 | Professional | TC · Technical part | $741.31 | $1,096.48 | $1,122.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $4,897.79 Typical High $5,128.61 | Facility | None | $2,041.74 | $4,897.79 | $5,128.61 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $11,220.18 | Facility | None | $2,041.74 | $2,137.96 | $11,220.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,148.15 Typical High $1,513.56 | Professional | None (both parts) | $812.83 | $1,148.15 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $204.17 Typical High $251.19 | Professional | 26 · Professional part | $144.54 | $204.17 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $933.25 Typical High $1,288.25 | Professional | TC · Technical part | $676.08 | $933.25 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,238.72 Typical High $9,332.54 | Facility | None | $1,000.00 | $2,238.72 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,174.90 Typical High $5,888.44 | Professional | None (both parts) | $912.01 | $1,174.90 | $5,888.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $204.17 Typical High $812.83 | Professional | 26 · Professional part | $151.36 | $204.17 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,000.00 Typical High $5,011.87 | Professional | TC · Technical part | $741.31 | $1,000.00 | $5,011.87 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,174.90 Typical High $2,089.30 | Professional | None (both parts) | $870.96 | $1,174.90 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $204.17 Typical High $309.03 | Professional | 26 · Professional part | $138.04 | $204.17 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,000.00 Typical High $1,778.28 | Professional | TC · Technical part | $724.44 | $1,000.00 | $1,778.28 |
1 more rate 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 54 · Surgery only Typical Low $676.08 Median $977.24 Typical High $1,000.00 | Professional | 54 · Surgery only | $676.08 | $977.24 | $1,000.00 |
Where Kansas sits
The same service costs 4.3 times more in Wisconsin 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· 7th of 51
$2,138
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.