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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $114.82 | Professional | None (both parts) | $109.65 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $95.50 | $97.72 | $97.72 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $9.33 Median $25.12 Typical High $91.20 | Professional | None (both parts) | $9.33 | $25.12 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $100.00 Typical High $575.44 | Facility | None | $95.50 | $100.00 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $81.28 | $138.04 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $15.49 | $16.60 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $70.79 | $123.03 | $123.03 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $165.96 | Facility | None | $89.13 | $89.13 | $165.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $794.33 | Professional | None (both parts) | $83.18 | $107.15 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $134.90 | Professional | 26 · Professional part | $12.30 | $14.13 | $134.90 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $707.95 | Professional | TC · Technical part | $69.18 | $83.18 | $707.95 |
United Setting Facility Modifier None Typical Low $56.23 Median $208.93 Typical High $331.13 | Facility | None | $56.23 | $208.93 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $79.43 | $91.20 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $15.85 | Professional | 26 · Professional part | $12.30 | $13.18 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $77.62 Typical High $97.72 | Professional | TC · Technical part | $69.18 | $77.62 | $97.72 |
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 $54.95 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $54.95 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.88 | $22.39 | $22.39 |
Where Oklahoma sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 40th of 51
$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.