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 $977.24 Median $2,187.76 Typical High $3,311.31 | Facility | None | $977.24 | $2,187.76 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $977.24 Typical High $1,148.15 | Professional | None (both parts) | $467.74 | $977.24 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $165.96 Typical High $199.53 | Professional | 26 · Professional part | $79.43 | $165.96 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $794.33 Typical High $954.99 | Professional | TC · Technical part | $389.05 | $794.33 | $954.99 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,000.00 | $1,047.13 | $1,047.13 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $3,388.44 | Facility | None | $1,318.26 | $2,089.30 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,071.52 Typical High $1,096.48 | Professional | None (both parts) | $630.96 | $1,071.52 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $177.83 Typical High $288.40 | Professional | 26 · Professional part | $85.11 | $177.83 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $776.25 Typical High $891.25 | Professional | TC · Technical part | $537.03 | $776.25 | $891.25 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,148.15 | Facility | None | $851.14 | $870.96 | $1,148.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,071.52 Typical High $4,265.80 | Professional | None (both parts) | $707.95 | $1,071.52 | $4,265.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $190.55 Typical High $954.99 | Professional | 26 · Professional part | $107.15 | $190.55 | $954.99 |
Medica Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $954.99 Typical High $3,715.35 | Professional | TC · Technical part | $575.44 | $954.99 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,000.00 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $645.65 Median $794.33 Typical High $1,202.26 | Professional | None (both parts) | $645.65 | $794.33 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $117.49 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $691.83 Typical High $1,023.29 | Professional | TC · Technical part | $537.03 | $691.83 | $1,023.29 |
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 $234.42 Median $478.63 Typical High $575.44 | Professional | 52 · Reduced service | $234.42 | $478.63 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $194.98 Typical High $229.09 | Professional | 53 · Discontinued | $95.50 | $194.98 | $229.09 |
Where Kansas sits
The same service costs 3.3 times more in Alaska 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· 11th of 51
$891
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.