How much rates vary
Facilitymedian $457 · 10th to 90th $200 to $479Professionalmedian $204 · 10th to 90th $132 to $1,023
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 $173.78 Median $1,047.13 Typical High $2,691.53 | Facility | None | $173.78 | $1,047.13 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $117.49 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $28.84 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $95.50 | $125.89 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
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 $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
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 $125.89 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $125.89 | $269.15 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $37.15 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $223.87 Typical High $234.42 | Professional | TC · Technical part | $104.71 | $223.87 | $234.42 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $257.04 Typical High $257.04 | Facility | None | $147.91 | $257.04 | $257.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $154.88 | $1,023.29 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $19.50 | $204.17 | $204.17 |
Medica Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $125.89 | $933.25 | $933.25 |
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 $131.83 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $131.83 | $165.96 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $18.62 | $28.18 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $107.15 | $134.90 | $218.78 |
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 $58.88 Median $74.13 Typical High $125.89 | Professional | 52 · Reduced service | $58.88 | $74.13 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $29.51 Typical High $50.12 | Professional | 53 · Discontinued | $23.44 | $29.51 | $50.12 |
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
$209
AK $302UT $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.