How much rates vary
Facilitymedian $550 · 10th to 90th $234 to $1,096Professionalmedian $447 · 10th to 90th $269 to $955
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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $331.13 | Professional | None (both parts) | $223.87 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $114.82 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $208.93 | Professional | TC · Technical part | $141.25 | $204.17 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Facility | None | $12,022.64 | $12,022.64 | $12,022.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $338.84 Typical High $446.68 | Professional | None (both parts) | $239.88 | $338.84 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $120.23 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $151.36 | $218.78 | $288.40 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $398.11 Typical High $1,380.38 | Facility | None | $144.54 | $398.11 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $5,623.41 | Professional | None (both parts) | $302.00 | $446.68 | $5,623.41 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $912.01 | Professional | 26 · Professional part | $85.11 | $114.82 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $5,495.41 | Professional | TC · Technical part | $204.17 | $338.84 | $5,495.41 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $812.83 | Professional | None (both parts) | $302.00 | $446.68 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $114.82 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $616.60 | Professional | TC · Technical part | $204.17 | $338.84 | $616.60 |
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 $109.65 Median $158.49 Typical High $162.18 | Professional | 52 · Reduced service | $109.65 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $63.10 Typical High $64.57 | Professional | 53 · Discontinued | $44.67 | $63.10 | $64.57 |
Where Kansas sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 5th of 51
$513
WI $776OR $182
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.