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 $173.78 Median $316.23 Typical High $316.23 | Facility | None | $173.78 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $173.78 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $51.29 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | TC · Technical part | $125.89 | $125.89 | $169.82 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $457.09 Median $602.56 Typical High $851.14 | Facility | None | $457.09 | $602.56 | $851.14 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $60.26 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $60.26 | $213.80 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $562.34 Typical High $2,041.74 | Facility | None | $416.87 | $562.34 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $245.47 | $288.40 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $77.62 | $85.11 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $169.82 | $199.53 | $239.88 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $338.84 | Facility | None | $186.21 | $281.84 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $1,445.44 | Professional | None (both parts) | $208.93 | $288.40 | $1,445.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $58.88 | $512.86 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $151.36 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $239.88 Median $891.25 Typical High $1,412.54 | Facility | None | $239.88 | $891.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $190.55 | $239.88 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $64.57 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $269.15 | Professional | TC · Technical part | $138.04 | $173.78 | $269.15 |
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 $87.10 Median $89.13 Typical High $131.83 | Professional | 52 · Reduced service | $87.10 | $89.13 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $52.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $52.48 |
Where Oklahoma sits
The same service costs 3.5 times more in Alaska 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· 30th of 51
$263
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.