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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $37.15 | $37.15 | $37.15 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $12.02 Median $34.67 Typical High $74.13 | Professional | None (both parts) | $12.02 | $34.67 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $28.18 | $33.88 | $33.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $11.22 | $16.60 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $56.23 | Professional | TC · Technical part | $21.88 | $21.88 | $56.23 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $83.18 Typical High $177.83 | Facility | None | $47.86 | $83.18 | $177.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $54.95 Typical High $630.96 | Professional | None (both parts) | $30.20 | $54.95 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $331.13 | Professional | 26 · Professional part | $10.47 | $12.30 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $52.48 Typical High $537.03 | Professional | TC · Technical part | $38.02 | $52.48 | $537.03 |
United Setting Facility Modifier None Typical Low $194.98 Median $724.44 Typical High $1,148.15 | Facility | None | $194.98 | $724.44 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $48.98 | $51.29 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.96 Typical High $13.49 | Professional | 26 · Professional part | $9.77 | $10.96 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $40.74 Typical High $54.95 | Professional | TC · Technical part | $38.02 | $40.74 | $54.95 |
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 $22.91 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $22.91 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $9.33 | $9.55 | $9.55 |
Where Oklahoma sits
The same service costs 3.3 times more in Alaska than in Ohio. 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
$48.98
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.