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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $36.31 | Professional | None (both parts) | $24.55 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.80 Typical High $14.13 | Professional | 26 · Professional part | $9.33 | $13.80 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $21.38 Typical High $21.88 | Professional | TC · Technical part | $14.79 | $21.38 | $21.88 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $40.74 | Facility | None | $20.42 | $20.42 | $40.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $21.38 Median $33.88 Typical High $114.82 | Professional | None (both parts) | $21.38 | $33.88 | $114.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.79 Typical High $114.82 | Professional | 26 · Professional part | $9.55 | $14.79 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $20.89 Typical High $70.79 | Professional | TC · Technical part | $12.02 | $20.89 | $70.79 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $69.18 | Facility | None | $43.65 | $43.65 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $23.44 Typical High $34.67 | Professional | None (both parts) | $19.50 | $23.44 | $34.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $14.45 | Professional | 26 · Professional part | $8.71 | $10.72 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $13.18 Typical High $19.50 | Professional | TC · Technical part | $10.47 | $13.18 | $19.50 |
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 $12.02 Median $17.38 Typical High $18.20 | Professional | 52 · Reduced service | $12.02 | $17.38 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $7.08 Typical High $7.24 | Professional | 53 · Discontinued | $4.79 | $7.08 | $7.24 |
Where Kansas sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 7th of 51
$32.36
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.