How much rates vary
Facilitymedian $457 · 10th to 90th $275 to $479Professionalmedian $200 · 10th to 90th $135 to $1,175
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 $269.15 Median $1,621.81 Typical High $2,691.53 | Facility | None | $269.15 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $125.89 | $169.82 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $44.67 | Professional | 26 · Professional part | $20.89 | $26.30 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $104.71 | $154.88 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $537.03 | Facility | None | $190.55 | $208.93 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $134.90 | $275.42 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $45.71 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $229.09 Typical High $239.88 | Professional | TC · Technical part | $114.82 | $229.09 | $239.88 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $288.40 Typical High $295.12 | Facility | None | $173.78 | $288.40 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $162.18 | $1,174.90 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $25.12 | $309.03 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $134.90 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $398.11 | Facility | None | $251.19 | $251.19 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $134.90 | $173.78 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $28.18 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $141.25 | $239.88 |
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 $63.10 Median $77.62 Typical High $134.90 | Professional | 52 · Reduced service | $63.10 | $77.62 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.90 Typical High $53.70 | Professional | 53 · Discontinued | $25.12 | $30.90 | $53.70 |
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
$229
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.