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 $245.47 Median $489.78 Typical High $2,137.96 | Facility | None | $245.47 | $489.78 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $229.09 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $45.71 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $245.47 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $288.40 | Professional | None (both parts) | $141.25 | $141.25 | $288.40 |
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 $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $346.74 Typical High $912.01 | Facility | None | $295.12 | $346.74 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $436.52 Typical High $489.78 | Professional | None (both parts) | $245.47 | $436.52 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $54.95 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $380.19 Typical High $407.38 | Professional | TC · Technical part | $223.87 | $380.19 | $407.38 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $489.78 Typical High $489.78 | Facility | None | $239.88 | $489.78 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $302.00 | $1,949.84 | $1,949.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $36.31 | $398.11 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $1,778.28 Typical High $1,778.28 | Professional | TC · Technical part | $263.03 | $1,778.28 | $1,778.28 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $446.68 | Facility | None | $281.84 | $281.84 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $257.04 | $331.13 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $47.86 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $218.78 | $275.42 | $436.52 |
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 $114.82 Median $144.54 Typical High $245.47 | Professional | 52 · Reduced service | $114.82 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $57.54 Typical High $97.72 | Professional | 53 · Discontinued | $45.71 | $57.54 | $97.72 |
Where Kansas sits
The same service costs 3.2 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
$398
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.