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 $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,089.30 Typical High $3,630.78 | Professional | None (both parts) | $1,659.59 | $2,089.30 | $3,630.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $407.38 Typical High $691.83 | Professional | 26 · Professional part | $316.23 | $407.38 | $691.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,698.24 Typical High $2,884.03 | Professional | TC · Technical part | $1,348.96 | $1,698.24 | $2,884.03 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None (both parts) | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,691.53 Typical High $3,162.28 | Professional | None (both parts) | $1,778.28 | $2,691.53 | $3,162.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $537.03 Typical High $562.34 | Professional | 26 · Professional part | $331.13 | $537.03 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $2,137.96 Typical High $2,630.27 | Professional | TC · Technical part | $1,445.44 | $2,137.96 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $3,467.37 | Facility | None | $1,584.89 | $1,698.24 | $3,467.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $3,090.30 Typical High $11,748.98 | Professional | None (both parts) | $1,621.81 | $3,090.30 | $11,748.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $575.44 Typical High $2,041.74 | Professional | 26 · Professional part | $363.08 | $575.44 | $2,041.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $2,511.89 Typical High $9,549.93 | Professional | TC · Technical part | $1,202.26 | $2,511.89 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,238.72 Typical High $3,715.35 | Professional | None (both parts) | $1,513.56 | $2,238.72 | $3,715.35 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $426.58 Typical High $676.08 | Professional | 26 · Professional part | $346.74 | $426.58 | $676.08 |
United Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,819.70 Typical High $3,019.95 | Professional | TC · Technical part | $1,148.15 | $1,819.70 | $3,019.95 |
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 $831.76 Median $1,047.13 Typical High $1,819.70 | Professional | 52 · Reduced service | $831.76 | $1,047.13 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $416.87 Typical High $724.44 | Professional | 53 · Discontinued | $338.84 | $416.87 | $724.44 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 13th of 51
$2,630
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.