How much rates vary
Facilitymedian $72 · 10th to 90th $23 to $182Professionalmedian $28 · 10th to 90th $11 to $47
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 $22.91 Median $22.91 Typical High $40.74 | Facility | None | $22.91 | $22.91 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $16.60 Typical High $28.18 | Facility | TC · Technical part | $15.85 | $16.60 | $28.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $35.48 | Professional | None (both parts) | $22.91 | $22.91 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.08 Typical High $10.96 | Professional | 26 · Professional part | $6.92 | $7.08 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $25.12 | Professional | TC · Technical part | $15.85 | $15.85 | $25.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.62 Median $22.91 Typical High $33.88 | Professional | None (both parts) | $18.62 | $22.91 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $11.22 | Professional | 26 · Professional part | $6.76 | $8.32 | $11.22 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $15.14 Typical High $24.55 | Professional | TC · Technical part | $13.49 | $15.14 | $24.55 |
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 $8.91 Median $27.54 Typical High $38.02 | Professional | None (both parts) | $8.91 | $27.54 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $25.70 Typical High $36.31 | Professional | None (both parts) | $23.44 | $25.70 | $36.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | 26 · Professional part | $7.76 | $7.76 | $12.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $17.78 Typical High $23.99 | Professional | TC · Technical part | $14.79 | $17.78 | $23.99 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $114.82 Typical High $245.47 | Facility | None | $22.91 | $114.82 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $25.70 Median $35.48 Typical High $194.98 | Professional | None (both parts) | $25.70 | $35.48 | $194.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $15.85 Typical High $54.95 | Professional | 26 · Professional part | $8.51 | $15.85 | $54.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $34.67 Typical High $138.04 | Professional | TC · Technical part | $17.38 | $34.67 | $138.04 |
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 $23.44 Median $28.18 Typical High $38.90 | Professional | None (both parts) | $23.44 | $28.18 | $38.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.12 Typical High $12.59 | Professional | 26 · Professional part | $7.76 | $9.12 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.05 Typical High $26.30 | Professional | TC · Technical part | $16.22 | $19.05 | $26.30 |
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 $18.62 Median $18.62 Typical High $18.62 | Professional | 59 · Distinct service | $18.62 | $18.62 | $18.62 |
Where Oklahoma sits
The same service costs 5.0 times more in Vermont than in New York. 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· 45th of 51
$28.18
VT $110NY $21.88
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.