How much rates vary
Facilitymedian $78 · 10th to 90th $26 to $214Professionalmedian $31 · 10th to 90th $13 to $50
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 $25.12 Median $25.70 Typical High $45.71 | Facility | None | $25.12 | $25.70 | $45.71 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $8.51 Typical High $13.18 | Facility | 26 · Professional part | $8.32 | $8.51 | $13.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $17.78 Typical High $87.10 | Facility | TC · Technical part | $16.98 | $17.78 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.70 Typical High $39.81 | Professional | None (both parts) | $25.12 | $25.70 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.51 Typical High $13.18 | Professional | 26 · Professional part | $8.32 | $8.51 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.38 Typical High $26.92 | Professional | TC · Technical part | $16.98 | $17.38 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $25.70 Typical High $38.02 | Professional | None (both parts) | $20.42 | $25.70 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.76 Typical High $9.55 | Professional | 26 · Professional part | $6.92 | $7.76 | $9.55 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $16.60 Typical High $25.70 | Professional | TC · Technical part | $14.13 | $16.60 | $25.70 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $54.95 Median $72.44 Typical High $102.33 | Facility | None | $54.95 | $72.44 | $102.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $10.72 Median $30.90 Typical High $42.66 | Professional | None (both parts) | $10.72 | $30.90 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.84 Typical High $41.69 | Professional | None (both parts) | $26.30 | $28.84 | $41.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $14.45 | Professional | 26 · Professional part | $9.33 | $9.33 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $26.30 | Professional | TC · Technical part | $15.85 | $19.50 | $26.30 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $138.04 Typical High $288.40 | Facility | None | $26.92 | $138.04 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $213.80 | Professional | None (both parts) | $28.84 | $39.81 | $213.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $19.05 Typical High $66.07 | Professional | 26 · Professional part | $10.00 | $19.05 | $66.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $38.02 Typical High $147.91 | Professional | TC · Technical part | $18.62 | $38.02 | $147.91 |
United Setting Facility Modifier None Typical Low $38.02 Median $141.25 Typical High $223.87 | Facility | None | $38.02 | $141.25 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $43.65 | Professional | None (both parts) | $26.30 | $31.62 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $9.33 | $10.96 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $28.84 | Professional | TC · Technical part | $17.78 | $20.89 | $28.84 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $20.42 Median $20.42 Typical High $25.70 | Professional | 59 · Distinct service | $20.42 | $20.42 | $25.70 |
Where Oklahoma sits
The same service costs 17.0 times more in Vermont 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.
Oklahoma· 46th of 51
$30.90
VT $447FL $26.30
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.