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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $147.91 | $186.21 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $33.88 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $120.23 | $151.36 | $257.04 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
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 $123.03 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $123.03 | $288.40 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $26.92 | $56.23 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $218.78 | $218.78 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $346.74 | Facility | None | $169.82 | $169.82 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $229.09 Typical High $1,174.90 | Professional | None (both parts) | $120.23 | $229.09 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $47.86 Typical High $602.56 | Professional | 26 · Professional part | $31.62 | $47.86 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $181.97 Typical High $1,000.00 | Professional | TC · Technical part | $87.10 | $181.97 | $1,000.00 |
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 $107.15 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $107.15 | $173.78 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $35.48 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $79.43 | $134.90 | $257.04 |
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 $74.13 Median $93.33 Typical High $158.49 | Professional | 52 · Reduced service | $74.13 | $93.33 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $37.15 Typical High $63.10 | Professional | 53 · Discontinued | $29.51 | $37.15 | $63.10 |
Where Kansas sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 12th of 51
$240
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.