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 $3,162.28 Median $8,317.64 Typical High $16,595.87 | Facility | None | $3,162.28 | $8,317.64 | $16,595.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,737.80 Typical High $2,089.30 | Professional | None (both parts) | $1,202.26 | $1,737.80 | $2,089.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $489.78 Typical High $512.86 | Professional | 26 · Professional part | $346.74 | $489.78 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,230.27 Typical High $1,288.25 | Professional | TC · Technical part | $851.14 | $1,230.27 | $1,288.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $5,754.40 Typical High $6,165.95 | Facility | None | $2,041.74 | $5,754.40 | $6,165.95 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
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 $1,174.90 Median $1,659.59 Typical High $2,041.74 | Professional | None (both parts) | $1,174.90 | $1,659.59 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $478.63 Typical High $588.84 | Professional | 26 · Professional part | $354.81 | $478.63 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,174.90 Typical High $1,479.11 | Professional | TC · Technical part | $831.76 | $1,174.90 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,454.71 Typical High $10,471.29 | Facility | None | $1,148.15 | $2,454.71 | $10,471.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,698.24 Typical High $7,585.78 | Professional | None (both parts) | $1,258.93 | $1,698.24 | $7,585.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $501.19 Typical High $1,905.46 | Professional | 26 · Professional part | $354.81 | $501.19 | $1,905.46 |
Medica Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,202.26 Typical High $5,623.41 | Professional | TC · Technical part | $912.01 | $1,202.26 | $5,623.41 |
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 $1,202.26 Median $1,659.59 Typical High $2,754.23 | Professional | None (both parts) | $1,202.26 | $1,659.59 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $489.78 Typical High $758.58 | Professional | 26 · Professional part | $331.13 | $489.78 | $758.58 |
United Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,202.26 Typical High $1,995.26 | Professional | TC · Technical part | $870.96 | $1,202.26 | $1,995.26 |
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 $891.25 Median $1,288.25 Typical High $1,348.96 | Professional | 54 · Surgery only | $891.25 | $1,288.25 | $1,348.96 |
Where Kansas sits
The same service costs 4.0 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· 13th of 51
$2,239
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.