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 $588.84 Median $741.31 Typical High $933.25 | Facility | None | $588.84 | $741.31 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $933.25 | Professional | None (both parts) | $426.58 | $537.03 | $933.25 |
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 $371.54 Median $467.74 Typical High $812.83 | Professional | TC · Technical part | $371.54 | $467.74 | $812.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $407.38 | $407.38 | $489.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $331.13 Median $346.74 Typical High $346.74 | Facility | None | $331.13 | $346.74 | $346.74 |
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 $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 $398.11 Median $645.65 Typical High $707.95 | Professional | None (both parts) | $398.11 | $645.65 | $707.95 |
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 $346.74 Median $549.54 Typical High $616.60 | Professional | TC · Technical part | $346.74 | $549.54 | $616.60 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $645.65 | Facility | None | $346.74 | $346.74 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $707.95 Typical High $2,884.03 | Professional | None (both parts) | $251.19 | $707.95 | $2,884.03 |
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 $616.60 Typical High $2,511.89 | Professional | TC · Technical part | $186.21 | $616.60 | $2,511.89 |
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 $229.09 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $229.09 | $489.78 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $58.88 | $74.13 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $446.68 Typical High $741.31 | Professional | TC · Technical part | $173.78 | $446.68 | $741.31 |
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 $218.78 Median $269.15 Typical High $467.74 | Professional | 52 · Reduced service | $218.78 | $269.15 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $109.65 Typical High $186.21 | Professional | 53 · Discontinued | $87.10 | $109.65 | $186.21 |
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
$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.