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 $2,951.21 Median $6,918.31 Typical High $13,803.84 | Facility | None | $2,951.21 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $676.08 Typical High $691.83 | Professional | None (both parts) | $467.74 | $676.08 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $275.42 Typical High $281.84 | Professional | 26 · Professional part | $194.98 | $275.42 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $398.11 Typical High $407.38 | Professional | TC · Technical part | $281.84 | $398.11 | $407.38 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $478.63 | $851.14 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $194.98 | $436.52 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $416.87 Typical High $426.58 | Professional | TC · Technical part | $288.40 | $416.87 | $426.58 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $812.83 Typical High $5,623.41 | Facility | None | $380.19 | $812.83 | $5,623.41 |
Medica Setting Professional Modifier None (both parts) Typical Low $398.11 Median $794.33 Typical High $4,466.84 | Professional | None (both parts) | $398.11 | $794.33 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $489.78 Typical High $2,089.30 | Professional | 26 · Professional part | $213.80 | $489.78 | $2,089.30 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $478.63 Typical High $4,168.69 | Professional | TC · Technical part | $120.23 | $478.63 | $4,168.69 |
United Setting Facility Modifier None Typical Low $398.11 Median $870.96 Typical High $7,762.47 | Facility | None | $398.11 | $870.96 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $524.81 Typical High $794.33 | Professional | None (both parts) | $371.54 | $524.81 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $263.03 Typical High $323.59 | Professional | 26 · Professional part | $186.21 | $263.03 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $114.82 | $295.12 | $467.74 |
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 $234.42 Median $338.84 Typical High $346.74 | Professional | 52 · Reduced service | $234.42 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $134.90 Typical High $138.04 | Professional | 53 · Discontinued | $95.50 | $134.90 | $138.04 |
Where Kansas sits
The same service costs 3.0 times more in Wisconsin than in North 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· 13th of 51
$661
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.