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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $446.68 Typical High $776.25 | Professional | None (both parts) | $354.81 | $446.68 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $56.23 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $389.05 Typical High $676.08 | Professional | TC · Technical part | $316.23 | $389.05 | $676.08 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,548.82 Typical High $2,089.30 | Facility | None | $524.81 | $1,548.82 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $537.03 Typical High $588.84 | Professional | None (both parts) | $323.59 | $537.03 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $44.67 | $64.57 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $467.74 Typical High $501.19 | Professional | TC · Technical part | $281.84 | $467.74 | $501.19 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $794.33 | Facility | None | $416.87 | $467.74 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $562.34 Typical High $2,344.23 | Professional | None (both parts) | $363.08 | $562.34 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $79.43 Typical High $281.84 | Professional | 26 · Professional part | $52.48 | $79.43 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $489.78 Typical High $2,041.74 | Professional | TC · Technical part | $316.23 | $489.78 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,000.00 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $707.95 | Professional | None (both parts) | $354.81 | $426.58 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $58.88 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $371.54 Typical High $616.60 | Professional | TC · Technical part | $302.00 | $371.54 | $616.60 |
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 $177.83 Median $223.87 Typical High $389.05 | Professional | 52 · Reduced service | $177.83 | $223.87 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $89.13 Typical High $154.88 | Professional | 53 · Discontinued | $70.79 | $89.13 | $154.88 |
Where Kansas sits
The same service costs 3.0 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· 15th of 51
$513
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.