How much rates vary
Facilitymedian $457 · 10th to 90th $186 to $479Professionalmedian $245 · 10th to 90th $151 to $1,230
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 $165.96 Median $275.42 Typical High $2,137.96 | Facility | None | $165.96 | $275.42 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $125.89 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $28.18 | $47.86 |
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 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
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 $147.91 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $147.91 | $281.84 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $25.70 | $38.02 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $239.88 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $239.88 | $245.47 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $281.84 Typical High $316.23 | Facility | None | $154.88 | $281.84 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $177.83 | $1,230.27 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $23.99 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $154.88 | $1,122.02 | $1,122.02 |
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 $151.36 Median $194.98 Typical High $309.03 | Professional | None (both parts) | $151.36 | $194.98 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $30.90 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $128.82 | $162.18 | $263.03 |
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 $79.43 Typical High $138.04 | Professional | 52 · Reduced service | $63.10 | $79.43 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $31.62 Typical High $54.95 | Professional | 53 · Discontinued | $25.70 | $31.62 | $54.95 |
Where Kansas sits
The same service costs 3.7 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
$245
AK $355UT $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.