How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $8.91 Median $12.59 Typical High $12.59 | Facility | None | $8.91 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None (both parts) | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 26 · Professional part | $6.76 | $6.76 | $6.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $5.89 Median $5.89 Typical High $6.17 | Professional | TC · Technical part | $5.89 | $5.89 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $21.88 Typical High $25.12 | Professional | None (both parts) | $19.05 | $21.88 | $25.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $12.88 | Professional | 26 · Professional part | $9.77 | $11.22 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $10.72 Typical High $12.02 | Professional | TC · Technical part | $9.12 | $10.72 | $12.02 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $14.79 Typical High $74.13 | Facility | None | $11.48 | $14.79 | $74.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $14.13 Median $18.20 Typical High $100.00 | Professional | None (both parts) | $14.13 | $18.20 | $100.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.59 Typical High $51.29 | Professional | 26 · Professional part | $7.41 | $12.59 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $12.59 Typical High $48.98 | Professional | TC · Technical part | $6.76 | $12.59 | $48.98 |
United Setting Facility Modifier None Typical Low $12.59 Median $46.77 Typical High $74.13 | Facility | None | $12.59 | $46.77 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $13.18 Median $16.60 Typical High $26.30 | Professional | None (both parts) | $13.18 | $16.60 | $26.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $6.92 | $8.71 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $7.94 Typical High $12.59 | Professional | TC · Technical part | $6.31 | $7.94 | $12.59 |
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 $6.31 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.51 |
Where Oklahoma sits
The same service costs 2.7 times more in Minnesota 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· 35th of 51
$18.62
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.