How much rates vary
Facilitymedian $195 · 10th to 90th $186 to $195Professionalmedian $62 · 10th to 90th $43 to $251
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $93.33 | Professional | None (both parts) | $42.66 | $53.70 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $26.30 | Professional | 26 · Professional part | $12.02 | $15.14 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.90 Typical High $66.07 | Professional | TC · Technical part | $30.90 | $38.90 | $66.07 |
BCBS Kansas Setting Facility Modifier None Typical Low $186.21 Median $194.98 Typical High $194.98 | Facility | None | $186.21 | $194.98 | $194.98 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
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 $40.74 Median $61.66 Typical High $67.61 | Professional | None (both parts) | $40.74 | $61.66 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $19.95 | Professional | 26 · Professional part | $12.88 | $18.20 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $42.66 Typical High $45.71 | Professional | TC · Technical part | $27.54 | $42.66 | $45.71 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $60.26 Typical High $173.78 | Facility | None | $51.29 | $60.26 | $173.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $48.98 Median $100.00 Typical High $251.19 | Professional | None (both parts) | $48.98 | $100.00 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $33.88 Typical High $75.86 | Professional | 26 · Professional part | $15.14 | $33.88 | $75.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $69.18 Typical High $173.78 | Professional | TC · Technical part | $33.88 | $69.18 | $173.78 |
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 $42.66 Median $50.12 Typical High $74.13 | Professional | None (both parts) | $42.66 | $50.12 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $22.39 | Professional | 26 · Professional part | $12.88 | $16.22 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $51.29 | Professional | TC · Technical part | $29.51 | $35.48 | $51.29 |
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 $21.38 Median $26.92 Typical High $46.77 | Professional | 52 · Reduced service | $21.38 | $26.92 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.72 Typical High $18.62 | Professional | 53 · Discontinued | $8.51 | $10.72 | $18.62 |
Where Kansas sits
The same service costs 2.9 times more in Alaska 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· 12th of 51
$61.66
AK $89.13UT $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.