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 $6,918.31 Typical High $13,803.84 | Facility | None | $2,951.21 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $295.12 Typical High $309.03 | Professional | None (both parts) | $208.93 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $181.97 Typical High $186.21 | Professional | 26 · Professional part | $125.89 | $181.97 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $120.23 | Professional | TC · Technical part | $81.28 | $117.49 | $120.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $6,456.54 Median $6,760.83 Typical High $6,918.31 | Facility | None | $6,456.54 | $6,760.83 | $6,918.31 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $19,952.62 Typical High $35,481.34 | Facility | None | $489.78 | $19,952.62 | $35,481.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $213.80 | $281.84 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $169.82 Typical High $257.04 | Professional | 26 · Professional part | $131.83 | $169.82 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $107.15 | $141.25 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $851.14 Typical High $5,623.41 | Facility | None | $338.84 | $851.14 | $5,623.41 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $316.23 Typical High $5,370.32 | Professional | None (both parts) | $213.80 | $316.23 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $173.78 Typical High $741.31 | Professional | 26 · Professional part | $128.82 | $173.78 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $5,128.61 | Professional | TC · Technical part | $89.13 | $144.54 | $5,128.61 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $7,762.47 | Facility | None | $501.19 | $1,047.13 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $316.23 Typical High $575.44 | Professional | None (both parts) | $213.80 | $316.23 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $173.78 Typical High $281.84 | Professional | 26 · Professional part | $123.03 | $173.78 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $263.03 | Professional | TC · Technical part | $89.13 | $144.54 | $263.03 |
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 $104.71 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $104.71 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $58.88 Typical High $61.66 | Professional | 53 · Discontinued | $41.69 | $58.88 | $61.66 |
Where Kansas sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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
$851
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.