How much rates vary
Facilitymedian $83 · 10th to 90th $65 to $126Professionalmedian $76 · 10th to 90th $54 to $562
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 $64.57 Median $72.44 Typical High $81.28 | Facility | None | $64.57 | $72.44 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | None (both parts) | $64.57 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $42.66 | Professional | 26 · Professional part | $30.90 | $30.90 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $33.88 | $33.88 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | None (both parts) | $74.13 | $74.13 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $35.48 | Professional | 26 · Professional part | $30.20 | $33.11 | $35.48 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $125.89 | Facility | None | $67.61 | $89.13 | $125.89 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $39.81 Median $74.13 Typical High $114.82 | Professional | None (both parts) | $39.81 | $74.13 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $22.39 Typical High $138.04 | Facility | None | $21.88 | $22.39 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $69.18 | $104.71 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $60.26 | Professional | 26 · Professional part | $47.86 | $50.12 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $25.12 | $53.70 | $53.70 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $100.00 | Facility | None | $66.07 | $83.18 | $100.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $562.34 | Professional | None (both parts) | $61.66 | $77.62 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $69.18 Typical High $234.42 | Professional | 26 · Professional part | $33.88 | $69.18 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $60.26 Typical High $288.40 | Professional | TC · Technical part | $26.30 | $60.26 | $288.40 |
United Setting Facility Modifier None Typical Low $16.22 Median $60.26 Typical High $97.72 | Facility | None | $16.22 | $60.26 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $131.83 | Professional | None (both parts) | $58.88 | $70.79 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $60.26 | Professional | TC · Technical part | $20.89 | $30.90 | $60.26 |
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 $32.36 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $32.36 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $12.88 | $13.18 | $13.18 |
Where Oklahoma sits
The same service costs 3.4 times more in Alaska 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
$77.62
AK $182NY $53.70
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.