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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $134.90 | $169.82 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $33.11 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $109.65 | $134.90 | $234.42 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
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 $120.23 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $120.23 | $275.42 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $54.95 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $208.93 | $208.93 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $165.96 Typical High $338.84 | Facility | None | $151.36 | $165.96 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $218.78 Typical High $1,023.29 | Professional | None (both parts) | $117.49 | $218.78 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $602.56 | Professional | 26 · Professional part | $30.90 | $46.77 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $173.78 Typical High $851.14 | Professional | TC · Technical part | $85.11 | $173.78 | $851.14 |
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 $102.33 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $102.33 | $162.18 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $34.67 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $245.47 | Professional | TC · Technical part | $77.62 | $128.82 | $245.47 |
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 $67.61 Median $85.11 Typical High $144.54 | Professional | 52 · Reduced service | $67.61 | $85.11 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.88 Typical High $58.88 | Professional | 53 · Discontinued | $26.92 | $33.88 | $58.88 |
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
$251
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.