How much rates vary
Facilitymedian $166 · 10th to 90th $151 to $339Professionalmedian $200 · 10th to 90th $120 to $955
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 $194.98 Median $194.98 Typical High $245.47 | Facility | None | $194.98 | $194.98 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $114.82 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $54.95 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $89.13 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
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 $120.23 Median $331.13 Typical High $363.08 | Professional | None (both parts) | $120.23 | $331.13 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $44.67 | $79.43 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $269.15 Typical High $281.84 | Professional | TC · Technical part | $77.62 | $269.15 | $281.84 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $165.96 Typical High $239.88 | Facility | None | $151.36 | $165.96 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $954.99 | Professional | None (both parts) | $131.83 | $213.80 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $79.43 Typical High $389.05 | Professional | 26 · Professional part | $52.48 | $79.43 | $389.05 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $144.54 Typical High $776.25 | Professional | TC · Technical part | $79.43 | $144.54 | $776.25 |
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 $125.89 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $125.89 | $158.49 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $46.77 | $58.88 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $100.00 | $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 $57.54 Median $72.44 Typical High $123.03 | Professional | 52 · Reduced service | $57.54 | $72.44 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.84 Typical High $48.98 | Professional | 53 · Discontinued | $22.91 | $28.84 | $48.98 |
Where Kansas sits
The same service costs 3.2 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· 10th of 51
$200
AK $302TX $93.33
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.