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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $85.11 | $107.15 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $54.95 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $89.13 | Professional | TC · Technical part | $40.74 | $51.29 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $512.86 | Facility | None | $158.49 | $316.23 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $134.90 Typical High $147.91 | Professional | None (both parts) | $79.43 | $134.90 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $75.86 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $35.48 | $58.88 | $67.61 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $181.97 | Facility | None | $100.00 | $100.00 | $181.97 |
Medica Setting Professional Modifier None (both parts) Typical Low $81.28 Median $141.25 Typical High $562.34 | Professional | None (both parts) | $81.28 | $141.25 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $316.23 | Professional | 26 · Professional part | $51.29 | $77.62 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $66.07 Typical High $316.23 | Professional | TC · Technical part | $29.51 | $66.07 | $316.23 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $239.88 | Facility | None | $151.36 | $151.36 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $74.13 | $107.15 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $46.77 | $57.54 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $48.98 Typical High $83.18 | Professional | TC · Technical part | $26.92 | $48.98 | $83.18 |
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 $41.69 Median $53.70 Typical High $91.20 | Professional | 52 · Reduced service | $41.69 | $53.70 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.38 Typical High $36.31 | Professional | 53 · Discontinued | $16.98 | $21.38 | $36.31 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 19th of 51
$107
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.