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 $186.21 Median $186.21 Typical High $234.42 | Facility | None | $186.21 | $186.21 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $107.15 | $134.90 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $81.28 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $43.65 | $54.95 | $93.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $239.88 Median $251.19 Typical High $257.04 | Facility | None | $239.88 | $251.19 | $257.04 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
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 $117.49 Median $169.82 Typical High $199.53 | Professional | None (both parts) | $117.49 | $169.82 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $66.07 | $95.50 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $87.10 | Professional | TC · Technical part | $52.48 | $75.86 | $87.10 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $162.18 Typical High $251.19 | Facility | None | $158.49 | $162.18 | $251.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $724.44 | Professional | None (both parts) | $138.04 | $199.53 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $416.87 | Professional | 26 · Professional part | $79.43 | $114.82 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $316.23 | Professional | TC · Technical part | $61.66 | $87.10 | $316.23 |
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 $123.03 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $123.03 | $151.36 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $69.18 | $85.11 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $102.33 | Professional | TC · Technical part | $54.95 | $66.07 | $102.33 |
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 $53.70 Median $67.61 Typical High $117.49 | Professional | 52 · Reduced service | $53.70 | $67.61 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $26.92 Typical High $46.77 | Professional | 53 · Discontinued | $21.38 | $26.92 | $46.77 |
Where Kansas sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 14th of 51
$162
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.