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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | None (both parts) | $38.90 | $38.90 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | TC · Technical part | $18.62 | $18.62 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $42.66 Typical High $239.88 | Facility | None | $34.67 | $42.66 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $389.05 | Professional | None (both parts) | $38.02 | $51.29 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $30.90 Typical High $194.98 | Professional | 26 · Professional part | $18.20 | $30.90 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $32.36 Typical High $194.98 | Professional | TC · Technical part | $18.62 | $32.36 | $194.98 |
United Setting Facility Modifier None Typical Low $12.59 Median $46.77 Typical High $74.13 | Facility | None | $12.59 | $46.77 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $34.67 | $43.65 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $33.88 | Professional | 26 · Professional part | $16.98 | $21.38 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $35.48 | Professional | TC · Technical part | $17.78 | $22.39 | $35.48 |
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 $19.05 Median $19.05 Typical High $20.42 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $8.13 | Professional | 53 · Discontinued | $7.76 | $7.76 | $8.13 |
Where Oklahoma sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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.
Oklahoma· 29th of 51
$50.12
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.