How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $85.11 | $104.71 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $42.66 | Professional | 26 · Professional part | $19.50 | $25.12 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $81.28 | $138.04 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $512.86 | Facility | None | $194.98 | $316.23 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $72.44 | $151.36 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $20.42 | $33.11 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $51.29 | $120.23 | $120.23 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $72.44 Typical High $177.83 | Facility | None | $67.61 | $72.44 | $177.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $67.61 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $67.61 | $446.68 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $21.38 | $323.59 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $44.67 | $346.74 | $346.74 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $239.88 | Facility | None | $151.36 | $151.36 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $57.54 | $81.28 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $33.88 | Professional | 26 · Professional part | $19.50 | $23.99 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $37.15 | $57.54 | $85.11 |
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 $42.66 Median $52.48 Typical High $91.20 | Professional | 52 · Reduced service | $42.66 | $52.48 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.38 Typical High $36.31 | Professional | 53 · Discontinued | $16.98 | $21.38 | $36.31 |
Where Kansas sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 20th of 51
$89.13
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.