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 $630.96 Median $741.31 Typical High $912.01 | Facility | None | $630.96 | $741.31 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $912.01 | Professional | None (both parts) | $426.58 | $537.03 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $83.18 | $104.71 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $741.31 | Professional | TC · Technical part | $346.74 | $426.58 | $741.31 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $371.54 Median $389.05 Typical High $389.05 | Facility | None | $371.54 | $389.05 | $389.05 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
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 $380.19 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $380.19 | $707.95 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $151.36 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $295.12 | $562.34 | $562.34 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $416.87 Typical High $676.08 | Facility | None | $380.19 | $416.87 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $676.08 Typical High $2,754.23 | Professional | None (both parts) | $338.84 | $676.08 | $2,754.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $147.91 Typical High $776.25 | Professional | 26 · Professional part | $97.72 | $147.91 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $524.81 Typical High $2,187.76 | Professional | TC · Technical part | $234.42 | $524.81 | $2,187.76 |
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 $316.23 Median $501.19 Typical High $831.76 | Professional | None (both parts) | $316.23 | $501.19 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $173.78 | Professional | 26 · Professional part | $89.13 | $109.65 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $389.05 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $389.05 | $676.08 |
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 $213.80 Median $269.15 Typical High $457.09 | Professional | 52 · Reduced service | $213.80 | $269.15 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $107.15 Typical High $181.97 | Professional | 53 · Discontinued | $85.11 | $107.15 | $181.97 |
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· 20th of 51
$537
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.