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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | TC · Technical part | $33.11 | $33.11 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $54.95 | $102.33 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $53.70 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $38.90 | $46.77 | $46.77 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $109.65 Typical High $117.49 | Facility | None | $72.44 | $109.65 | $117.49 |
Medica Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $549.54 | Professional | None (both parts) | $70.79 | $75.86 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $281.84 | Professional | 26 · Professional part | $38.02 | $40.74 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $354.81 | Professional | TC · Technical part | $32.36 | $38.02 | $354.81 |
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 $67.61 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $67.61 | $75.86 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $36.31 | $38.02 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.88 Typical High $40.74 | Professional | TC · Technical part | $32.36 | $33.88 | $40.74 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Where Oklahoma sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 43rd of 51
$75.86
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.