How much rates vary
Facilitymedian $1,122 · 10th to 90th $437 to $12,303Professionalmedian $380 · 10th to 90th $245 to $676
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 $239.88 Median $346.74 Typical High $354.81 | Professional | None (both parts) | $239.88 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $251.19 Typical High $257.04 | Professional | 26 · Professional part | $173.78 | $251.19 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $95.50 | Professional | TC · Technical part | $66.07 | $93.33 | $95.50 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
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 $245.47 Median $331.13 Typical High $407.38 | Professional | None (both parts) | $245.47 | $331.13 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $239.88 Typical High $302.00 | Professional | 26 · Professional part | $177.83 | $239.88 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $89.13 | $112.20 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $851.14 Typical High $5,623.41 | Facility | None | $398.11 | $851.14 | $5,623.41 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $5,370.32 | Professional | None (both parts) | $251.19 | $380.19 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $245.47 Typical High $1,023.29 | Professional | 26 · Professional part | $177.83 | $245.47 | $1,023.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $138.04 Typical High $5,128.61 | Professional | TC · Technical part | $72.44 | $138.04 | $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 $251.19 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $251.19 | $380.19 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $239.88 Typical High $380.19 | Professional | 26 · Professional part | $169.82 | $239.88 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $72.44 | $138.04 | $251.19 |
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 $120.23 Median $173.78 Typical High $177.83 | Professional | 52 · Reduced service | $120.23 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $47.86 | $69.18 | $70.79 |
Where Kansas sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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
$468
LA $1,288AL $224
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.