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 $407.38 Median $1,621.81 Typical High $2,691.53 | Facility | None | $407.38 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $234.42 | $302.00 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $46.77 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $251.19 | $426.58 |
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 $323.59 Typical High $588.84 | Facility | None | $295.12 | $323.59 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $275.42 | $363.08 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $53.70 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $446.68 | Professional | TC · Technical part | $234.42 | $309.03 | $446.68 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $549.54 | Facility | None | $239.88 | $363.08 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $676.08 Typical High $1,621.81 | Professional | None (both parts) | $295.12 | $676.08 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $102.33 Typical High $234.42 | Professional | 26 · Professional part | $44.67 | $102.33 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $575.44 Typical High $1,380.38 | Professional | TC · Technical part | $251.19 | $575.44 | $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 $269.15 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $269.15 | $331.13 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $48.98 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $229.09 | $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 $117.49 Median $147.91 Typical High $251.19 | Professional | 52 · Reduced service | $117.49 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $60.26 Typical High $102.33 | Professional | 53 · Discontinued | $47.86 | $60.26 | $102.33 |
Where Kansas sits
The same service costs 3.1 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· 12th of 51
$363
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.