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 $2,951.21 Median $7,943.28 Typical High $16,595.87 | Facility | None | $2,951.21 | $7,943.28 | $16,595.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,698.24 Typical High $2,041.74 | Professional | None (both parts) | $1,174.90 | $1,698.24 | $2,041.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $489.78 Typical High $501.19 | Professional | 26 · Professional part | $338.84 | $489.78 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,230.27 Typical High $1,258.93 | Professional | TC · Technical part | $831.76 | $1,230.27 | $1,258.93 |
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
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 $1,148.15 Median $1,659.59 Typical High $1,995.26 | Professional | None (both parts) | $1,148.15 | $1,659.59 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $467.74 Typical High $575.44 | Professional | 26 · Professional part | $346.74 | $467.74 | $575.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,148.15 Typical High $1,479.11 | Professional | TC · Technical part | $812.83 | $1,148.15 | $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 $1,659.59 Typical High $7,413.10 | Professional | None (both parts) | $1,258.93 | $1,659.59 | $7,413.10 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $489.78 Typical High $1,905.46 | Professional | 26 · Professional part | $354.81 | $489.78 | $1,905.46 |
Medica Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,174.90 Typical High $5,623.41 | Professional | TC · Technical part | $891.25 | $1,174.90 | $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 $1,174.90 Median $1,621.81 Typical High $2,691.53 | Professional | None (both parts) | $1,174.90 | $1,621.81 | $2,691.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $478.63 Typical High $741.31 | Professional | 26 · Professional part | $323.59 | $478.63 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,174.90 Typical High $1,949.84 | Professional | TC · Technical part | $851.14 | $1,174.90 | $1,949.84 |
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 $1,318.26 | Professional | 54 · Surgery only | $891.25 | $1,288.25 | $1,318.26 |
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· 10th 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.