How much rates vary
Facilitymedian $81 · 10th to 90th $63 to $85Professionalmedian $54 · 10th to 90th $39 to $347
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 $50.12 Median $64.57 Typical High $81.28 | Facility | None | $50.12 | $64.57 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $47.86 Typical High $81.28 | Professional | None (both parts) | $38.02 | $47.86 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.78 Typical High $30.90 | Professional | 26 · Professional part | $13.80 | $17.78 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $23.99 | $29.51 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | None (both parts) | $33.11 | $33.11 | $38.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $81.28 Median $85.11 Typical High $85.11 | Facility | None | $81.28 | $85.11 | $85.11 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $537.03 Typical High $1,023.29 | Facility | None | $302.00 | $537.03 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $39.81 | $61.66 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $15.14 | $28.84 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.11 Typical High $38.02 | Professional | TC · Technical part | $24.55 | $33.11 | $38.02 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $85.11 | Facility | None | $48.98 | $48.98 | $85.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $41.69 Median $134.90 Typical High $346.74 | Professional | None (both parts) | $41.69 | $134.90 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $16.60 | $89.13 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $25.70 | $199.53 | $199.53 |
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 $39.81 Median $47.86 Typical High $64.57 | Professional | None (both parts) | $39.81 | $47.86 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.62 Typical High $25.12 | Professional | 26 · Professional part | $15.14 | $18.62 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $40.74 | Professional | TC · Technical part | $23.99 | $29.51 | $40.74 |
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 $23.99 Typical High $40.74 | Professional | 52 · Reduced service | $19.05 | $23.99 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.55 Typical High $16.22 | Professional | 53 · Discontinued | $7.59 | $9.55 | $16.22 |
Where Kansas sits
The same service costs 2.7 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· 14th of 51
$53.70
MN $83.18UT $30.90
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.