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 $501.19 Median $645.65 Typical High $794.33 | Facility | None | $501.19 | $645.65 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $363.08 | $467.74 | $794.33 |
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 $302.00 Median $398.11 Typical High $676.08 | Professional | TC · Technical part | $302.00 | $398.11 | $676.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $426.58 | Professional | None (both parts) | $295.12 | $295.12 | $426.58 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $309.03 Typical High $309.03 | Facility | None | $295.12 | $309.03 | $309.03 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
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 $338.84 Median $562.34 Typical High $616.60 | Professional | None (both parts) | $338.84 | $562.34 | $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 $281.84 Median $467.74 Typical High $512.86 | Professional | TC · Technical part | $281.84 | $467.74 | $512.86 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $575.44 | Facility | None | $323.59 | $323.59 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $602.56 Typical High $2,454.71 | Professional | None (both parts) | $251.19 | $602.56 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $354.81 | Professional | 26 · Professional part | $63.10 | $97.72 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $501.19 Typical High $2,089.30 | Professional | TC · Technical part | $186.21 | $501.19 | $2,089.30 |
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 $234.42 Median $436.52 Typical High $741.31 | Professional | None (both parts) | $234.42 | $436.52 | $741.31 |
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 $169.82 Median $363.08 Typical High $630.96 | Professional | TC · Technical part | $169.82 | $363.08 | $630.96 |
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 $186.21 Median $234.42 Typical High $398.11 | Professional | 52 · Reduced service | $186.21 | $234.42 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $93.33 Typical High $162.18 | Professional | 53 · Discontinued | $74.13 | $93.33 | $162.18 |
Where Kansas sits
The same service costs 3.0 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· 18th of 51
$468
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.