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 $218.78 Median $218.78 Typical High $229.09 | Facility | None | $218.78 | $218.78 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $104.71 | $131.83 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $66.07 Typical High $114.82 | Professional | 52 · Reduced service | $52.48 | $66.07 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $26.30 Typical High $45.71 | Professional | 53 · Discontinued | $20.89 | $26.30 | $45.71 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,089.30 Typical High $3,388.44 | Facility | None | $1,023.29 | $2,089.30 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $131.83 | $173.78 | $173.78 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $251.19 | Facility | None | $141.25 | $141.25 | $251.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $691.83 | Professional | None (both parts) | $117.49 | $190.55 | $691.83 |
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 $112.20 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $112.20 | $141.25 | $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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $117.49 | $138.04 | $204.17 |
Medica Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 11th of 51
$162
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.