How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,698 to $9,772Professionalmedian $1,380 · 10th to 90th $955 to $2,455
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 $6,309.57 Typical High $13,803.84 | Facility | None | $2,398.83 | $6,309.57 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,288.25 Typical High $1,479.11 | Professional | None (both parts) | $891.25 | $1,288.25 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $977.24 Typical High $1,000.00 | Professional | 26 · Professional part | $676.08 | $977.24 | $1,000.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $316.23 | Professional | TC · Technical part | $218.78 | $309.03 | $316.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,754.40 Median $6,456.54 Typical High $6,918.31 | Facility | None | $5,754.40 | $6,456.54 | $6,918.31 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $2,089.30 |
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 $912.01 Median $1,230.27 Typical High $1,862.09 | Professional | None (both parts) | $912.01 | $1,230.27 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $933.25 Typical High $1,380.38 | Professional | 26 · Professional part | $691.83 | $933.25 | $1,380.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $295.12 | $501.19 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $10,000.00 | Facility | None | $954.99 | $2,818.38 | $10,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,348.96 Typical High $10,715.19 | Professional | None (both parts) | $1,000.00 | $1,348.96 | $10,715.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $954.99 Typical High $3,981.07 | Professional | 26 · Professional part | $707.95 | $954.99 | $3,981.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $398.11 Typical High $9,772.37 | Professional | TC · Technical part | $323.59 | $398.11 | $9,772.37 |
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 $1,000.00 Median $1,288.25 Typical High $2,344.23 | Professional | None (both parts) | $1,000.00 | $1,288.25 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $912.01 Typical High $1,479.11 | Professional | 26 · Professional part | $660.69 | $912.01 | $1,479.11 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $398.11 Typical High $724.44 | Professional | TC · Technical part | $323.59 | $398.11 | $724.44 |
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 $446.68 Median $645.65 Typical High $660.69 | Professional | 52 · Reduced service | $446.68 | $645.65 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $257.04 Typical High $263.03 | Professional | 53 · Discontinued | $177.83 | $257.04 | $263.03 |
Where Kansas sits
The same service costs 5.2 times more in Louisiana than in New York. 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· 4th of 51
$3,715
LA $4,677NY $891
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.