How much rates vary
Facilitymedian $93 · 10th to 90th $85 to $132Professionalmedian $120 · 10th to 90th $74 to $692
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $97.72 | $123.03 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $42.66 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $81.28 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
BCBS Kansas Setting Facility Modifier None Typical Low $89.13 Median $93.33 Typical High $93.33 | Facility | None | $89.13 | $93.33 | $93.33 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $512.86 | Facility | None | $158.49 | $316.23 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $83.18 | $154.88 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $61.66 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $93.33 Typical High $95.50 | Professional | TC · Technical part | $48.98 | $93.33 | $95.50 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $204.17 | Facility | None | $77.62 | $77.62 | $204.17 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $154.88 Typical High $691.83 | Professional | None (both parts) | $64.57 | $154.88 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $58.88 Typical High $223.87 | Professional | 26 · Professional part | $38.90 | $58.88 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $97.72 Typical High $467.74 | Professional | TC · Technical part | $23.99 | $97.72 | $467.74 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $239.88 | Facility | None | $151.36 | $151.36 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $60.26 | $112.20 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $35.48 | $43.65 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $72.44 Typical High $131.83 | Professional | TC · Technical part | $22.39 | $72.44 | $131.83 |
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 $48.98 Median $61.66 Typical High $107.15 | Professional | 52 · Reduced service | $48.98 | $61.66 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $24.55 Typical High $42.66 | Professional | 53 · Discontinued | $19.50 | $24.55 | $42.66 |
Where Kansas sits
The same service costs 3.5 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· 17th of 51
$120
AK $229KY $64.57
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.