How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,072 to $15,488Professionalmedian $1,175 · 10th to 90th $741 to $2,138
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 $2,398.83 Median $6,918.31 Typical High $13,803.84 | Facility | None | $2,398.83 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,047.13 Typical High $1,071.52 | Professional | None (both parts) | $724.44 | $1,047.13 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $602.56 Typical High $616.60 | Professional | 26 · Professional part | $416.87 | $602.56 | $616.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $436.52 Typical High $446.68 | Professional | TC · Technical part | $309.03 | $436.52 | $446.68 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $5,495.41 Typical High $24,547.09 | Facility | None | $4,897.79 | $5,495.41 | $24,547.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,023.29 Typical High $1,318.26 | Professional | None (both parts) | $741.31 | $1,023.29 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $588.84 Typical High $891.25 | Professional | 26 · Professional part | $426.58 | $588.84 | $891.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $426.58 Typical High $524.81 | Professional | TC · Technical part | $316.23 | $426.58 | $524.81 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $2,818.38 Typical High $10,000.00 | Facility | None | $912.01 | $2,818.38 | $10,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,174.90 Typical High $10,715.19 | Professional | None (both parts) | $794.33 | $1,174.90 | $10,715.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $588.84 Typical High $4,466.84 | Professional | 26 · Professional part | $436.52 | $588.84 | $4,466.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $602.56 Typical High $10,000.00 | Professional | TC · Technical part | $346.74 | $602.56 | $10,000.00 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $14,454.40 | Facility | None | $933.25 | $3,548.13 | $14,454.40 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,174.90 Typical High $2,089.30 | Professional | None (both parts) | $794.33 | $1,174.90 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $575.44 Typical High $933.25 | Professional | 26 · Professional part | $407.38 | $575.44 | $933.25 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $602.56 Typical High $1,096.48 | Professional | TC · Technical part | $346.74 | $602.56 | $1,096.48 |
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 $363.08 Median $512.86 Typical High $537.03 | Professional | 52 · Reduced service | $363.08 | $512.86 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $208.93 Typical High $213.80 | Professional | 53 · Discontinued | $144.54 | $208.93 | $213.80 |
Where Kansas sits
The same service costs 7.1 times more in Texas 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· 16th of 51
$1,479
TX $3,981HI $562
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.