How much rates vary
Facilitymedian $41 · 10th to 90th $23 to $51Professionalmedian $41 · 10th to 90th $25 to $363
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 $19.05 Median $22.39 Typical High $22.39 | Facility | None | $19.05 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $22.39 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.23 Typical High $10.23 | Professional | 26 · Professional part | $10.00 | $10.23 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $12.59 Typical High $13.18 | Professional | TC · Technical part | $12.59 | $12.59 | $13.18 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $23.99 Median $31.62 Typical High $43.65 | Facility | None | $23.99 | $31.62 | $43.65 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $40.74 Typical High $223.87 | Facility | None | $14.45 | $40.74 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $46.77 | Professional | None (both parts) | $37.15 | $42.66 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $19.05 | Professional | 26 · Professional part | $14.79 | $17.38 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $28.84 | Professional | TC · Technical part | $21.38 | $25.12 | $28.84 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $44.67 Typical High $70.79 | Facility | None | $23.44 | $44.67 | $70.79 |
Medica Setting Professional Modifier None (both parts) Typical Low $26.92 Median $40.74 Typical High $363.08 | Professional | None (both parts) | $26.92 | $40.74 | $363.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $20.42 Typical High $223.87 | Professional | 26 · Professional part | $10.96 | $20.42 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $45.71 Typical High $281.84 | Professional | TC · Technical part | $15.14 | $45.71 | $281.84 |
United Setting Facility Modifier None Typical Low $25.70 Median $95.50 Typical High $151.36 | Facility | None | $25.70 | $95.50 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $61.66 | Professional | None (both parts) | $24.55 | $30.90 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $10.47 | $12.88 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.78 Typical High $42.66 | Professional | TC · Technical part | $14.13 | $17.78 | $42.66 |
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 $11.22 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $11.22 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $4.47 | $4.57 | $4.57 |
Where Oklahoma sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 25th of 51
$40.74
MN $74.13AL $28.18
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.