How much rates vary
Facilitymedian $501 · 10th to 90th $145 to $7,244Professionalmedian $316 · 10th to 90th $209 to $1,259
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 $316.23 Median $316.23 Typical High $22,387.21 | Facility | None | $316.23 | $316.23 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $323.59 | Professional | None (both parts) | $208.93 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $234.42 Typical High $239.88 | Professional | 26 · Professional part | $158.49 | $234.42 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $81.28 | Professional | TC · Technical part | $53.70 | $77.62 | $81.28 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $120.23 Typical High $158.49 | Facility | None | $53.70 | $120.23 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $208.93 | $407.38 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $263.03 Typical High $281.84 | Professional | 26 · Professional part | $158.49 | $263.03 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $53.70 | $141.25 | $141.25 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $501.19 Typical High $7,244.36 | Facility | None | $338.84 | $501.19 | $7,244.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $457.09 Typical High $1,258.93 | Professional | None (both parts) | $263.03 | $457.09 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $309.03 Typical High $891.25 | Professional | 26 · Professional part | $186.21 | $309.03 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $151.36 Typical High $512.86 | Professional | TC · Technical part | $63.10 | $151.36 | $512.86 |
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 $204.17 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $204.17 | $302.00 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $223.87 Typical High $316.23 | Professional | 26 · Professional part | $151.36 | $223.87 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $52.48 | $77.62 | $147.91 |
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 $104.71 Median $154.88 Typical High $162.18 | Professional | 52 · Reduced service | $104.71 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $63.10 Typical High $64.57 | Professional | 53 · Discontinued | $42.66 | $63.10 | $64.57 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 18th of 51
$316
AK $468UT $132
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.