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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | None (both parts) | $15.49 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.30 | $12.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $3.24 Typical High $3.24 | Professional | TC · Technical part | $3.16 | $3.24 | $3.24 |
BCBS Setting Professional Modifier None (both parts) Typical Low $12.88 Median $17.78 Typical High $21.88 | Professional | None (both parts) | $12.88 | $17.78 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $1,148.15 | Facility | None | $57.54 | $57.54 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.62 Typical High $22.39 | Professional | None (both parts) | $18.20 | $18.62 | $22.39 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $12.59 | $14.79 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $3.80 Typical High $3.80 | Professional | TC · Technical part | $3.47 | $3.80 | $3.80 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $18.20 Typical High $138.04 | Facility | None | $16.22 | $18.20 | $138.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $13.49 Median $15.49 Typical High $263.03 | Professional | None (both parts) | $13.49 | $15.49 | $263.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.75 Typical High $85.11 | Professional | 26 · Professional part | $10.96 | $11.75 | $85.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $8.13 Typical High $208.93 | Professional | TC · Technical part | $2.57 | $8.13 | $208.93 |
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 $13.49 Median $14.45 Typical High $42.66 | Professional | None (both parts) | $13.49 | $14.45 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.48 Typical High $13.80 | Professional | 26 · Professional part | $10.47 | $11.48 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $2.75 Typical High $31.62 | Professional | TC · Technical part | $2.57 | $2.75 | $31.62 |
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 $7.76 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.76 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $3.09 | $3.16 | $3.16 |
Where Oklahoma sits
The same service costs 2.6 times more in California 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· 37th of 51
$17.38
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.