How much rates vary
Facilitymedian $457 · 10th to 90th $170 to $479Professionalmedian $132 · 10th to 90th $87 to $776
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 $93.33 Median $169.82 Typical High $2,137.96 | Facility | None | $93.33 | $169.82 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $79.43 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $25.12 | Professional | 26 · Professional part | $11.75 | $14.79 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $67.61 | $100.00 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $100.00 | Professional | None (both parts) | $50.12 | $58.88 | $100.00 |
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 $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $169.82 Typical High $407.38 | Facility | None | $151.36 | $169.82 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $173.78 Typical High $194.98 | Professional | None (both parts) | $85.11 | $173.78 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $24.55 Typical High $32.36 | Professional | 26 · Professional part | $13.49 | $24.55 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $151.36 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $151.36 | $162.18 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $194.98 | Facility | None | $120.23 | $194.98 | $194.98 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $104.71 | $776.25 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $13.80 | $269.15 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $89.13 | $691.83 | $691.83 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $245.47 | Facility | None | $154.88 | $154.88 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $87.10 | $109.65 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $12.88 | $16.22 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $74.13 | $93.33 | $158.49 |
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 $38.90 Median $48.98 Typical High $85.11 | Professional | 52 · Reduced service | $38.90 | $48.98 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.95 Typical High $33.88 | Professional | 53 · Discontinued | $15.85 | $19.95 | $33.88 |
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· 9th of 51
$148
AK $209UT $63.10
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.