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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $41.69 Typical High $43.65 | Professional | TC · Technical part | $40.74 | $41.69 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $1,479.11 | Facility | None | $165.96 | $165.96 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $125.89 | $151.36 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $89.13 | Professional | 26 · Professional part | $70.79 | $75.86 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $77.62 | Professional | TC · Technical part | $56.23 | $75.86 | $77.62 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $162.18 Typical High $194.98 | Facility | None | $91.20 | $162.18 | $194.98 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $851.14 | Professional | None (both parts) | $97.72 | $131.83 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $93.33 Typical High $562.34 | Professional | 26 · Professional part | $50.12 | $93.33 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $89.13 Typical High $562.34 | Professional | TC · Technical part | $44.67 | $89.13 | $562.34 |
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 $89.13 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $89.13 | $112.20 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $58.88 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $83.18 | Professional | TC · Technical part | $42.66 | $52.48 | $83.18 |
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 $42.66 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $42.66 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Where Oklahoma sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 27th of 51
$138
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.