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 $302.00 Median $1,621.81 Typical High $2,691.53 | Facility | None | $302.00 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $141.25 | $173.78 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $44.67 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $104.71 | $131.83 | $223.87 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
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 $162.18 Median $295.12 Typical High $354.81 | Professional | None (both parts) | $162.18 | $295.12 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $53.70 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $53.70 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $295.12 | Professional | TC · Technical part | $134.90 | $239.88 | $295.12 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $309.03 Typical High $331.13 | Facility | None | $125.89 | $309.03 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $181.97 | $1,348.96 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $33.11 | $371.54 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $165.96 | $1,096.48 | $1,096.48 |
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 $165.96 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $165.96 | $208.93 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $35.48 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $138.04 | $173.78 | $275.42 |
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 $70.79 Median $87.10 Typical High $151.36 | Professional | 52 · Reduced service | $70.79 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $35.48 Typical High $60.26 | Professional | 53 · Discontinued | $28.18 | $35.48 | $60.26 |
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· 9th of 51
$263
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.