How much rates vary
Facilitymedian $457 · 10th to 90th $257 to $479Professionalmedian $200 · 10th to 90th $148 to $1,202
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 $218.78 Median $1,621.81 Typical High $2,691.53 | Facility | None | $218.78 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $128.82 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $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 $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
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 $158.49 Median $288.40 Typical High $302.00 | Professional | None (both parts) | $158.49 | $288.40 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $34.67 | Professional | 26 · Professional part | $22.39 | $31.62 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $245.47 Typical High $263.03 | Professional | TC · Technical part | $134.90 | $245.47 | $263.03 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $288.40 Typical High $316.23 | Facility | None | $141.25 | $288.40 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $371.54 Typical High $1,202.26 | Professional | None (both parts) | $190.55 | $371.54 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $63.10 Typical High $199.53 | Professional | 26 · Professional part | $16.98 | $63.10 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $316.23 Typical High $1,122.02 | Professional | TC · Technical part | $158.49 | $316.23 | $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 $158.49 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $158.49 | $199.53 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $15.49 | $31.62 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $134.90 | $169.82 | $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· 11th of 51
$224
AK $363UT $97.72
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.