How much rates vary
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 $758.58 Median $2,570.40 Typical High $7,585.78 | Facility | None | $758.58 | $2,570.40 | $7,585.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $457.09 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $93.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $363.08 | $389.05 | $389.05 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $2,754.23 | Facility | None | $1,047.13 | $1,737.80 | $2,754.23 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $100.00 Median $239.88 Typical High $549.54 | Professional | None (both parts) | $100.00 | $239.88 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $239.88 | $501.19 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $123.03 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $181.97 | $380.19 | $380.19 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $2,511.89 | Facility | None | $331.13 | $512.86 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $446.68 Typical High $3,162.28 | Professional | None (both parts) | $269.15 | $446.68 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $169.82 Typical High $645.65 | Professional | 26 · Professional part | $81.28 | $169.82 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $501.19 Typical High $2,570.40 | Professional | TC · Technical part | $181.97 | $501.19 | $2,570.40 |
United Setting Facility Modifier None Typical Low $154.88 Median $891.25 Typical High $1,513.56 | Facility | None | $154.88 | $891.25 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $346.74 Typical High $630.96 | Professional | None (both parts) | $257.04 | $346.74 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $95.50 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $173.78 | $257.04 | $467.74 |
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 $229.09 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $229.09 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $91.20 | $97.72 | $97.72 |
Where Oklahoma sits
The same service costs 6.5 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.
Oklahoma· 17th of 51
$501
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.