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 $91.20 Median $107.15 Typical High $134.90 | Facility | None | $91.20 | $107.15 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $134.90 | Professional | None (both parts) | $61.66 | $77.62 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $34.67 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $42.66 | $74.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $346.74 Median $363.08 Typical High $363.08 | Facility | None | $346.74 | $363.08 | $363.08 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
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 $60.26 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $60.26 | $147.91 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $29.51 | $75.86 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $30.20 | $69.18 | $69.18 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $138.04 | Facility | None | $77.62 | $77.62 | $138.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $67.61 Median $676.08 Typical High $724.44 | Professional | None (both parts) | $67.61 | $676.08 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $32.36 | $331.13 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $35.48 | $562.34 | $562.34 |
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 $60.26 Median $74.13 Typical High $104.71 | Professional | None (both parts) | $60.26 | $74.13 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $50.12 | Professional | 26 · Professional part | $29.51 | $36.31 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $53.70 | Professional | TC · Technical part | $30.90 | $37.15 | $53.70 |
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 $30.90 Median $38.90 Typical High $66.07 | Professional | 52 · Reduced service | $30.90 | $38.90 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $15.49 Typical High $26.92 | Professional | 53 · Discontinued | $12.30 | $15.49 | $26.92 |
Where Kansas sits
The same service costs 3.6 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· 8th of 51
$105
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.