How much rates vary
Facilitymedian $457 · 10th to 90th $245 to $479Professionalmedian $209 · 10th to 90th $132 to $1,047
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 $251.19 Median $1,621.81 Typical High $2,691.53 | Facility | None | $251.19 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $117.49 | $154.88 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $28.84 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $95.50 | $128.82 | $204.17 |
BCBS Kansas Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $478.63 | Facility | None | $457.09 | $478.63 | $478.63 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $457.09 | Facility | None | $128.82 | $154.88 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $125.89 | $245.47 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $43.65 | Professional | 26 · Professional part | $25.70 | $38.02 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $213.80 Typical High $234.42 | Professional | TC · Technical part | $104.71 | $213.80 | $234.42 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $263.03 | Facility | None | $158.49 | $263.03 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $158.49 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $25.12 | $302.00 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $125.89 | $912.01 | $912.01 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $194.98 | Facility | None | $123.03 | $123.03 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $131.83 | $165.96 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $30.90 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $134.90 | $218.78 |
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 $58.88 Median $74.13 Typical High $125.89 | Professional | 52 · Reduced service | $58.88 | $74.13 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $30.20 Typical High $51.29 | Professional | 53 · Discontinued | $23.44 | $30.20 | $51.29 |
Where Kansas sits
The same service costs 3.3 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· 10th of 51
$219
AK $316UT $95.50
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.