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 $128.82 Median $128.82 Typical High $263.03 | Facility | None | $128.82 | $128.82 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $123.03 | $154.88 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $75.86 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $61.66 | $77.62 | $131.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $181.97 Median $190.55 Typical High $190.55 | Facility | None | $181.97 | $190.55 | $190.55 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
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 $131.83 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $131.83 | $245.47 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $123.03 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $123.03 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $128.82 | Professional | TC · Technical part | $69.18 | $107.15 | $128.82 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $309.03 | Facility | None | $134.90 | $134.90 | $309.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $229.09 Typical High $1,230.27 | Professional | None (both parts) | $112.20 | $229.09 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $107.15 Typical High $676.08 | Professional | 26 · Professional part | $69.18 | $107.15 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $128.82 Typical High $741.31 | Professional | TC · Technical part | $42.66 | $128.82 | $741.31 |
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 $107.15 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $107.15 | $169.82 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $64.57 | $79.43 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $38.90 | $89.13 | $144.54 |
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 $60.26 Median $77.62 Typical High $131.83 | Professional | 52 · Reduced service | $60.26 | $77.62 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $52.48 | Professional | 53 · Discontinued | $24.55 | $30.90 | $52.48 |
Where Kansas sits
The same service costs 4.6 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· 12th of 51
$191
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.