How much rates vary
Facilitymedian $1,698 · 10th to 90th $162 to $7,244Professionalmedian $589 · 10th to 90th $112 to $1,778
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 $112.20 Median $4,677.35 Typical High $9,549.93 | Facility | None | $112.20 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $79.43 | $112.20 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $85.11 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $32.36 | Professional | TC · Technical part | $19.05 | $27.54 | $32.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,778.28 | Facility | None | $1,698.24 | $1,698.24 | $1,778.28 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $24,547.09 Median $28,183.83 Typical High $35,481.34 | Facility | None | $24,547.09 | $28,183.83 | $35,481.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $575.44 | Professional | None (both parts) | $194.98 | $275.42 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $208.93 Typical High $269.15 | Professional | 26 · Professional part | $147.91 | $208.93 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $66.07 Typical High $323.59 | Professional | TC · Technical part | $47.86 | $66.07 | $323.59 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $407.38 Typical High $4,073.80 | Facility | None | $138.04 | $407.38 | $4,073.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $398.11 Median $588.84 Typical High $3,235.94 | Professional | None (both parts) | $398.11 | $588.84 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $234.42 Typical High $1,348.96 | Professional | 26 · Professional part | $173.78 | $234.42 | $1,348.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $354.81 Typical High $3,090.30 | Professional | TC · Technical part | $239.88 | $354.81 | $3,090.30 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $7,762.47 | Facility | None | $125.89 | $407.38 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $575.44 Typical High $1,023.29 | Professional | None (both parts) | $407.38 | $575.44 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $234.42 Typical High $269.15 | Professional | 26 · Professional part | $162.18 | $234.42 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $630.96 | Professional | TC · Technical part | $269.15 | $346.74 | $630.96 |
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 $39.81 Median $56.23 Typical High $57.54 | Professional | 52 · Reduced service | $39.81 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $15.85 | $22.91 | $23.44 |
Where Kansas sits
The same service costs 4.8 times more in Nebraska than in South Carolina. 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
$631
NE $724SC $151
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.