How much rates vary
Facilitymedian $240 · 10th to 90th $200 to $575Professionalmedian $204 · 10th to 90th $145 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 $125.89 Median $245.47 Typical High $309.03 | Facility | None | $125.89 | $245.47 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $144.54 | $181.97 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $181.97 | Professional | 26 · Professional part | $83.18 | $107.15 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $60.26 | $74.13 | $128.82 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
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 $141.25 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $141.25 | $208.93 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $87.10 | $123.03 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $107.15 | Professional | TC · Technical part | $56.23 | $87.10 | $107.15 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $338.84 | Facility | None | $199.53 | $208.93 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $954.99 | Professional | None (both parts) | $173.78 | $251.19 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $537.03 | Professional | 26 · Professional part | $104.71 | $151.36 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $102.33 Typical High $416.87 | Professional | TC · Technical part | $72.44 | $102.33 | $416.87 |
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 $154.88 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $154.88 | $186.21 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $177.83 | Professional | 26 · Professional part | $91.20 | $112.20 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $75.86 | $123.03 |
3 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 $72.44 Median $91.20 Typical High $154.88 | Professional | 52 · Reduced service | $72.44 | $91.20 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $36.31 Typical High $63.10 | Professional | 53 · Discontinued | $28.84 | $36.31 | $63.10 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 59 · Distinct service | $154.88 | $154.88 | $154.88 |
Where Kansas sits
The same service costs 3.6 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· 14th of 51
$204
AK $380TX $105
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.