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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $79.43 | $100.00 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $45.71 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $93.33 | Professional | TC · Technical part | $42.66 | $53.70 | $93.33 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $123.03 Typical High $144.54 | Facility | None | $50.12 | $123.03 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $77.62 | $120.23 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $36.31 | $52.48 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $69.18 Typical High $75.86 | Professional | TC · Technical part | $41.69 | $69.18 | $75.86 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $186.21 | Facility | None | $81.28 | $114.82 | $186.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $549.54 | Professional | None (both parts) | $95.50 | $134.90 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $234.42 | Professional | 26 · Professional part | $44.67 | $64.57 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $316.23 | Professional | TC · Technical part | $50.12 | $72.44 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $87.10 | $104.71 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $38.90 | $47.86 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $87.10 | Professional | TC · Technical part | $47.86 | $57.54 | $87.10 |
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 $39.81 Median $50.12 Typical High $85.11 | Professional | 52 · Reduced service | $39.81 | $50.12 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.95 Typical High $34.67 | Professional | 53 · Discontinued | $15.85 | $19.95 | $34.67 |
Where Kansas sits
The same service costs 3.0 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· 15th of 51
$115
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.