How much rates vary
Facilitymedian $240 · 10th to 90th $35 to $355Professionalmedian $37 · 10th to 90th $14 to $78
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 $27.54 Median $51.29 Typical High $51.29 | Facility | None | $27.54 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $28.18 Typical High $47.86 | Professional | None (both parts) | $27.54 | $28.18 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.00 Typical High $19.50 | Professional | 26 · Professional part | $9.77 | $10.00 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.78 Typical High $28.84 | Professional | TC · Technical part | $17.38 | $17.78 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None (both parts) | $30.90 | $30.90 | $36.31 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $354.81 | Facility | None | $181.97 | $257.04 | $354.81 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $12.88 Median $29.51 Typical High $40.74 | Professional | None (both parts) | $12.88 | $29.51 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | None (both parts) | $33.11 | $33.11 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $30.20 | Professional | TC · Technical part | $21.38 | $21.38 | $30.20 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $38.90 Typical High $331.13 | Facility | None | $27.54 | $38.90 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $31.62 Median $48.98 Typical High $194.98 | Professional | None (both parts) | $31.62 | $48.98 | $194.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $28.84 Typical High $69.18 | Professional | 26 · Professional part | $12.88 | $28.84 | $69.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $46.77 Typical High $128.82 | Professional | TC · Technical part | $20.89 | $46.77 | $128.82 |
United Setting Facility Modifier None Typical Low $56.23 Median $208.93 Typical High $331.13 | Facility | None | $56.23 | $208.93 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $67.61 | Professional | None (both parts) | $31.62 | $39.81 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $25.70 | Professional | 26 · Professional part | $12.02 | $15.14 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $41.69 | Professional | TC · Technical part | $19.50 | $23.99 | $41.69 |
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 $13.80 Median $14.13 Typical High $16.60 | Professional | 52 · Reduced service | $13.80 | $14.13 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.62 Typical High $6.61 | Professional | 53 · Discontinued | $5.50 | $5.62 | $6.61 |
Where Oklahoma sits
The same service costs 2.7 times more in Alaska 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· 36th of 51
$37.15
AK $83.18FL $30.90
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.