How much rates vary
Facilitymedian $151 · 10th to 90th $98 to $251Professionalmedian $138 · 10th to 90th $89 to $832
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $128.82 | Professional | None (both parts) | $104.71 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $36.31 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | TC · Technical part | $67.61 | $67.61 | $85.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $95.50 Median $158.49 Typical High $245.47 | Facility | None | $95.50 | $158.49 | $245.47 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $51.29 Median $134.90 Typical High $147.91 | Professional | None (both parts) | $51.29 | $134.90 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $125.89 | $181.97 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $50.12 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $74.13 | $128.82 | $128.82 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $151.36 Typical High $199.53 | Facility | None | $109.65 | $151.36 | $199.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $173.78 Typical High $831.76 | Professional | None (both parts) | $97.72 | $173.78 | $831.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $117.49 Typical High $263.03 | Professional | 26 · Professional part | $39.81 | $117.49 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $165.96 Typical High $602.56 | Professional | TC · Technical part | $54.95 | $165.96 | $602.56 |
United Setting Facility Modifier None Typical Low $95.50 Median $346.74 Typical High $562.34 | Facility | None | $95.50 | $346.74 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $87.10 | $112.20 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $37.15 | $45.71 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $120.23 | Professional | TC · Technical part | $51.29 | $64.57 | $120.23 |
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 $52.48 Median $52.48 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $20.89 | $25.70 |
Where Oklahoma sits
The same service costs 3.2 times more in Alaska 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· 31st of 51
$145
AK $347NY $107
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.