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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $363.08 | Professional | None (both parts) | $169.82 | $213.80 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $33.88 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $144.54 | $177.83 | $309.03 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
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 $257.04 Typical High $257.04 | Professional | None (both parts) | $123.03 | $257.04 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $53.70 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $190.55 | $190.55 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $354.81 | Facility | None | $162.18 | $162.18 | $354.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $218.78 Typical High $954.99 | Professional | None (both parts) | $120.23 | $218.78 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $602.56 | Professional | 26 · Professional part | $31.62 | $46.77 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $181.97 Typical High $794.33 | Professional | TC · Technical part | $87.10 | $181.97 | $794.33 |
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 $309.03 | Professional | None (both parts) | $102.33 | $162.18 | $309.03 |
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 $81.28 Median $128.82 Typical High $251.19 | Professional | TC · Technical part | $81.28 | $128.82 | $251.19 |
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 $85.11 Median $107.15 Typical High $181.97 | Professional | 52 · Reduced service | $85.11 | $107.15 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $42.66 Typical High $72.44 | Professional | 53 · Discontinued | $33.88 | $42.66 | $72.44 |
Where Kansas sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 15th of 51
$224
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.