How much rates vary
Facilitymedian $550 · 10th to 90th $162 to $1,096Professionalmedian $209 · 10th to 90th $145 to $537
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $120.23 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $83.18 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $91.20 | Professional | TC · Technical part | $63.10 | $89.13 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
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 $144.54 Median $194.98 Typical High $389.05 | Professional | None (both parts) | $144.54 | $194.98 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $91.20 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $263.03 | Professional | TC · Technical part | $74.13 | $104.71 | $263.03 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $346.74 Typical High $1,380.38 | Facility | None | $125.89 | $346.74 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $5,754.40 | Professional | None (both parts) | $154.88 | $208.93 | $5,754.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $660.69 | Professional | 26 · Professional part | $60.26 | $83.18 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $5,495.41 | Professional | TC · Technical part | $100.00 | $125.89 | $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 $154.88 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $154.88 | $208.93 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $83.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $123.03 | $213.80 |
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 $60.26 Median $85.11 Typical High $89.13 | Professional | 52 · Reduced service | $60.26 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $34.67 Typical High $35.48 | Professional | 53 · Discontinued | $23.99 | $34.67 | $35.48 |
Where Kansas sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 2nd of 51
$407
WI $417VA $110
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.