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 $190.55 Median $346.74 Typical High $2,137.96 | Facility | None | $190.55 | $346.74 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $177.83 | $229.09 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $40.74 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $144.54 | $190.55 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $109.65 | $128.82 | $218.78 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $323.59 Typical High $912.01 | Facility | None | $288.40 | $323.59 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $371.54 | Professional | None (both parts) | $199.53 | $354.81 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $61.66 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $61.66 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $162.18 | $295.12 | $295.12 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $446.68 | Facility | None | $245.47 | $398.11 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $234.42 | $1,584.89 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $38.02 | $891.25 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $1,380.38 Typical High $1,380.38 | Professional | TC · Technical part | $194.98 | $1,380.38 | $1,380.38 |
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 $199.53 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $199.53 | $251.19 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $43.65 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $338.84 | Professional | TC · Technical part | $162.18 | $208.93 | $338.84 |
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 $89.13 Median $114.82 Typical High $190.55 | Professional | 52 · Reduced service | $89.13 | $114.82 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $45.71 Typical High $75.86 | Professional | 53 · Discontinued | $35.48 | $45.71 | $75.86 |
Where Kansas sits
The same service costs 3.5 times more in Minnesota 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
$324
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.