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 $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 $39.81 | Professional | None (both parts) | $38.90 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | TC · Technical part | $20.89 | $20.89 | $22.39 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $20.42 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $20.42 | $43.65 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $38.02 | $53.70 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $18.20 | $24.55 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $25.12 | $29.51 | $29.51 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $67.61 Typical High $100.00 | Facility | None | $38.90 | $67.61 | $100.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.90 Median $43.65 Typical High $338.84 | Professional | None (both parts) | $38.90 | $43.65 | $338.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $128.82 | Professional | 26 · Professional part | $17.78 | $21.38 | $128.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $35.48 Typical High $223.87 | Professional | TC · Technical part | $20.89 | $35.48 | $223.87 |
United Setting Facility Modifier None Typical Low $25.70 Median $95.50 Typical High $151.36 | Facility | None | $25.70 | $95.50 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $40.74 Typical High $64.57 | Professional | None (both parts) | $38.90 | $40.74 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.62 Typical High $22.91 | Professional | 26 · Professional part | $17.78 | $18.62 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $20.89 | $22.39 | $42.66 |
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 $19.50 Median $19.50 Typical High $20.42 | Professional | 52 · Reduced service | $19.50 | $19.50 | $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 3.4 times more in Alaska than in Utah. 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
$40.74
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.