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 $575.44 Median $575.44 Typical High $724.44 | Facility | None | $575.44 | $575.44 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $724.44 | Professional | None (both parts) | $331.13 | $416.87 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $69.18 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $281.84 | $346.74 | $602.56 |
BCBS Kansas Setting Facility Modifier None Typical Low $316.23 Median $331.13 Typical High $331.13 | Facility | None | $316.23 | $331.13 | $331.13 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
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 $302.00 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $302.00 | $616.60 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $56.23 | $95.50 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $251.19 | $512.86 | $512.86 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $346.74 Typical High $588.84 | Facility | None | $331.13 | $346.74 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $537.03 Typical High $2,238.72 | Professional | None (both parts) | $269.15 | $537.03 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $776.25 | Professional | 26 · Professional part | $63.10 | $97.72 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $446.68 Typical High $1,862.09 | Professional | TC · Technical part | $208.93 | $446.68 | $1,862.09 |
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 $251.19 Median $407.38 Typical High $660.69 | Professional | None (both parts) | $251.19 | $407.38 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $58.88 | $72.44 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $331.13 Typical High $549.54 | Professional | TC · Technical part | $190.55 | $331.13 | $549.54 |
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 $165.96 Median $208.93 Typical High $363.08 | Professional | 52 · Reduced service | $165.96 | $208.93 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $83.18 Typical High $144.54 | Professional | 53 · Discontinued | $67.61 | $83.18 | $144.54 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 19th of 51
$417
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.