How much rates vary
Facilitymedian $288 · 10th to 90th $58 to $302Professionalmedian $49 · 10th to 90th $32 to $398
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 $28.18 Median $39.81 Typical High $57.54 | Facility | None | $28.18 | $39.81 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.88 Typical High $57.54 | Professional | None (both parts) | $26.30 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $10.00 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $39.81 | Professional | TC · Technical part | $18.62 | $24.55 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $26.30 Typical High $41.69 | Professional | None (both parts) | $23.99 | $26.30 | $41.69 |
BCBS Kansas Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $302.00 | Facility | None | $288.40 | $288.40 | $302.00 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $457.09 Typical High $537.03 | Facility | None | $158.49 | $457.09 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $34.67 | $64.57 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $8.51 | $25.70 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $26.30 | $37.15 | $37.15 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $43.65 Typical High $208.93 | Facility | None | $38.90 | $43.65 | $208.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $89.13 Typical High $398.11 | Professional | None (both parts) | $38.02 | $89.13 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $9.55 | $131.83 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $28.84 | $134.90 | $134.90 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $398.11 | Facility | None | $251.19 | $251.19 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $58.88 | Professional | None (both parts) | $34.67 | $43.65 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $14.79 | Professional | 26 · Professional part | $8.71 | $10.72 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $41.69 | Professional | TC · Technical part | $26.30 | $33.11 | $41.69 |
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 $13.18 Median $16.60 Typical High $28.18 | Professional | 52 · Reduced service | $13.18 | $16.60 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.61 Typical High $11.48 | Professional | 53 · Discontinued | $5.25 | $6.61 | $11.48 |
Where Kansas sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 9th of 51
$48.98
MN $67.61TX $26.92
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.