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 $1,949.84 Median $5,495.41 Typical High $10,964.78 | Facility | None | $1,949.84 | $5,495.41 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $251.19 | Professional | None (both parts) | $173.78 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $177.83 Typical High $186.21 | Professional | 26 · Professional part | $125.89 | $177.83 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $69.18 | Professional | TC · Technical part | $47.86 | $67.61 | $69.18 |
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 $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
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 $177.83 Median $234.42 Typical High $288.40 | Professional | None (both parts) | $177.83 | $234.42 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $169.82 Typical High $218.78 | Professional | 26 · Professional part | $128.82 | $169.82 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $79.43 | Professional | TC · Technical part | $47.86 | $63.10 | $79.43 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $851.14 Typical High $5,623.41 | Facility | None | $275.42 | $851.14 | $5,623.41 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $263.03 Typical High $5,370.32 | Professional | None (both parts) | $177.83 | $263.03 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $707.95 | Professional | 26 · Professional part | $125.89 | $173.78 | $707.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $91.20 Typical High $5,248.07 | Professional | TC · Technical part | $50.12 | $91.20 | $5,248.07 |
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 $173.78 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $173.78 | $263.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $169.82 Typical High $275.42 | Professional | 26 · Professional part | $123.03 | $169.82 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $50.12 | $91.20 | $165.96 |
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 $87.10 Median $123.03 Typical High $125.89 | Professional | 52 · Reduced service | $87.10 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $48.98 Typical High $51.29 | Professional | 53 · Discontinued | $34.67 | $48.98 | $51.29 |
Where Kansas sits
The same service costs 8.3 times more in Louisiana 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· 3rd of 51
$724
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.