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 $331.13 Median $478.63 Typical High $489.78 | Professional | None (both parts) | $331.13 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $371.54 Typical High $389.05 | Professional | 26 · Professional part | $263.03 | $371.54 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $104.71 | Professional | TC · Technical part | $70.79 | $102.33 | $104.71 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
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 $338.84 Median $467.74 Typical High $660.69 | Professional | None (both parts) | $338.84 | $467.74 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $371.54 Typical High $446.68 | Professional | 26 · Professional part | $269.15 | $371.54 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $102.33 Typical High $218.78 | Professional | TC · Technical part | $72.44 | $102.33 | $218.78 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $2,818.38 Typical High $9,772.37 | Facility | None | $602.56 | $2,818.38 | $9,772.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $575.44 Typical High $5,370.32 | Professional | None (both parts) | $380.19 | $575.44 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $380.19 Typical High $2,344.23 | Professional | 26 · Professional part | $275.42 | $380.19 | $2,344.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $229.09 Typical High $5,011.87 | Professional | TC · Technical part | $89.13 | $229.09 | $5,011.87 |
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 $380.19 Median $575.44 Typical High $1,047.13 | Professional | None (both parts) | $380.19 | $575.44 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $363.08 Typical High $588.84 | Professional | 26 · Professional part | $251.19 | $363.08 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $229.09 Typical High $446.68 | Professional | TC · Technical part | $89.13 | $229.09 | $446.68 |
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 $165.96 Median $239.88 Typical High $245.47 | Professional | 52 · Reduced service | $165.96 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $95.50 Typical High $97.72 | Professional | 53 · Discontinued | $67.61 | $95.50 | $97.72 |
Where Kansas sits
The same service costs 9.5 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· 3rd of 51
$2,818
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.