How much rates vary
Facilitymedian $355 · 10th to 90th $81 to $372Professionalmedian $76 · 10th to 90th $47 to $631
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 $40.74 Median $56.23 Typical High $257.04 | Facility | None | $40.74 | $56.23 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $81.28 | Professional | None (both parts) | $38.02 | $50.12 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $21.88 | Professional | 26 · Professional part | $10.00 | $12.59 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $37.15 Typical High $58.88 | Professional | TC · Technical part | $27.54 | $37.15 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $41.69 | Professional | None (both parts) | $33.88 | $37.15 | $41.69 |
BCBS Kansas Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $371.54 | Facility | None | $354.81 | $354.81 | $371.54 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $912.01 Typical High $1,023.29 | Facility | None | $302.00 | $912.01 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $54.95 | $100.00 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $13.18 | $37.15 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $39.81 | $64.57 | $64.57 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $75.86 Typical High $234.42 | Facility | None | $56.23 | $75.86 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $64.57 | $467.74 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $15.49 | $223.87 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $48.98 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $691.83 | Facility | None | $436.52 | $436.52 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $93.33 | Professional | None (both parts) | $57.54 | $72.44 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $22.91 | Professional | 26 · Professional part | $13.49 | $16.60 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $43.65 | $56.23 | $72.44 |
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 $19.05 Median $23.44 Typical High $40.74 | Professional | 52 · Reduced service | $19.05 | $23.44 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.33 Typical High $16.22 | Professional | 53 · Discontinued | $7.59 | $9.33 | $16.22 |
Where Kansas sits
The same service costs 3.3 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· 8th of 51
$75.86
MN $105UT $31.62
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.