How much rates vary
Facilitymedian $229 · 10th to 90th $178 to $240Professionalmedian $224 · 10th to 90th $151 to $1,047
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 $151.36 Median $151.36 Typical High $323.59 | Facility | None | $151.36 | $151.36 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $151.36 | $190.55 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $100.00 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $89.13 | $154.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $229.09 Median $239.88 Typical High $239.88 | Facility | None | $229.09 | $239.88 | $239.88 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $426.58 | Facility | None | $125.89 | $331.13 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $288.40 | Professional | None (both parts) | $162.18 | $281.84 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $79.43 | $158.49 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $120.23 Typical High $147.91 | Professional | TC · Technical part | $81.28 | $120.23 | $147.91 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $239.88 | Facility | None | $162.18 | $162.18 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $288.40 Typical High $1,047.13 | Professional | None (both parts) | $138.04 | $288.40 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $154.88 Typical High $512.86 | Professional | 26 · Professional part | $91.20 | $154.88 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $144.54 Typical High $549.54 | Professional | TC · Technical part | $43.65 | $144.54 | $549.54 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $245.47 | Facility | None | $154.88 | $154.88 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $131.83 | $208.93 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $104.71 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $40.74 | $104.71 | $173.78 |
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 $75.86 Median $95.50 Typical High $162.18 | Professional | 52 · Reduced service | $75.86 | $95.50 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $38.02 Typical High $64.57 | Professional | 53 · Discontinued | $30.20 | $38.02 | $64.57 |
Where Kansas sits
The same service costs 3.9 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
$224
AK $398TX $102
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.