How much rates vary
Facilitymedian $457 · 10th to 90th $162 to $479Professionalmedian $186 · 10th to 90th $123 to $1,047
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 $123.03 Median $245.47 Typical High $2,137.96 | Facility | None | $123.03 | $245.47 | $2,137.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $218.78 | Facility | TC · Technical part | $95.50 | $138.04 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $114.82 | $151.36 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $20.42 | $26.92 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $93.33 | $123.03 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $229.09 | Professional | None (both parts) | $69.18 | $91.20 | $229.09 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
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 $123.03 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $123.03 | $223.87 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $40.74 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $40.74 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $190.55 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $190.55 | $204.17 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $263.03 Typical High $446.68 | Facility | None | $151.36 | $263.03 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $144.54 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $25.12 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $120.23 | $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 $123.03 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $123.03 | $158.49 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $28.18 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $102.33 | $128.82 | $213.80 |
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 $56.23 Median $70.79 Typical High $123.03 | Professional | 52 · Reduced service | $56.23 | $70.79 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.84 Typical High $48.98 | Professional | 53 · Discontinued | $22.91 | $28.84 | $48.98 |
Where Kansas sits
The same service costs 4.0 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· 11th of 51
$209
MN $380UT $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.