How much rates vary
Facilitymedian $71 · 10th to 90th $68 to $148Professionalmedian $138 · 10th to 90th $65 to $813
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $138.04 | Professional | None (both parts) | $63.10 | $79.43 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $17.78 | $22.91 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $57.54 Typical High $97.72 | Professional | TC · Technical part | $45.71 | $57.54 | $97.72 |
BCBS Kansas Setting Facility Modifier None Typical Low $67.61 Median $70.79 Typical High $70.79 | Facility | None | $67.61 | $70.79 | $70.79 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
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 $64.57 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $64.57 | $223.87 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $18.20 | $36.31 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $45.71 | $190.55 | $190.55 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $147.91 Typical High $213.80 | Facility | None | $95.50 | $147.91 | $213.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $81.28 Median $162.18 Typical High $812.83 | Professional | None (both parts) | $81.28 | $162.18 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $32.36 Typical High $416.87 | Professional | 26 · Professional part | $20.89 | $32.36 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $120.23 Typical High $562.34 | Professional | TC · Technical part | $58.88 | $120.23 | $562.34 |
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 $70.79 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $70.79 | $97.72 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $38.02 | Professional | 26 · Professional part | $19.05 | $23.44 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $51.29 | $70.79 | $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 $31.62 Median $39.81 Typical High $69.18 | Professional | 52 · Reduced service | $31.62 | $39.81 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.85 Typical High $27.54 | Professional | 53 · Discontinued | $12.88 | $15.85 | $27.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 59 · Distinct service | $67.61 | $67.61 | $67.61 |
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· 12th of 51
$120
AK $162TX $51.29
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.