How much rates vary
Facilitymedian $457 · 10th to 90th $324 to $479Professionalmedian $282 · 10th to 90th $166 to $1,445
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 $263.03 Median $1,621.81 Typical High $2,691.53 | Facility | None | $263.03 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $154.88 | $190.55 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $23.44 | $29.51 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $162.18 | $275.42 |
Ambetter 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 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $218.78 Typical High $537.03 | Facility | None | $190.55 | $218.78 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $338.84 Typical High $407.38 | Professional | None (both parts) | $165.96 | $338.84 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $51.29 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $295.12 Typical High $338.84 | Professional | TC · Technical part | $144.54 | $295.12 | $338.84 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $346.74 Typical High $363.08 | Facility | None | $199.53 | $346.74 | $363.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $199.53 | $1,445.44 | $1,445.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $28.84 | $295.12 | $295.12 |
Medica Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $1,288.25 Typical High $1,288.25 | Professional | TC · Technical part | $169.82 | $1,288.25 | $1,288.25 |
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 $165.96 Median $213.80 Typical High $346.74 | Professional | None (both parts) | $165.96 | $213.80 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $25.12 | $31.62 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $141.25 | $177.83 | $295.12 |
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 $75.86 Median $95.50 Typical High $165.96 | Professional | 52 · Reduced service | $75.86 | $95.50 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $66.07 | Professional | 53 · Discontinued | $30.90 | $38.02 | $66.07 |
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
$282
AK $417UT $126
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.