How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $93.33 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $37.15 | $47.86 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $69.18 | $120.23 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $1,737.80 | Facility | None | $524.81 | $912.01 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $158.49 Typical High $165.96 | Professional | None (both parts) | $97.72 | $158.49 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $38.02 | $74.13 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $100.00 | Professional | TC · Technical part | $58.88 | $83.18 | $100.00 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $128.82 Typical High $213.80 | Facility | None | $95.50 | $128.82 | $213.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $263.03 Typical High $1,548.82 | Professional | None (both parts) | $83.18 | $263.03 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $257.04 | Professional | 26 · Professional part | $45.71 | $67.61 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $162.18 Typical High $1,513.56 | Professional | TC · Technical part | $29.51 | $162.18 | $1,513.56 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $691.83 | Facility | None | $436.52 | $436.52 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $131.83 Typical High $269.15 | Professional | None (both parts) | $75.86 | $131.83 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $50.12 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $83.18 Typical High $208.93 | Professional | TC · Technical part | $25.12 | $83.18 | $208.93 |
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 $46.77 Median $58.88 Typical High $100.00 | Professional | 52 · Reduced service | $46.77 | $58.88 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $39.81 | Professional | 53 · Discontinued | $18.62 | $23.44 | $39.81 |
Where Kansas sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 16th of 51
$132
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.