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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $123.03 | $125.89 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $43.65 | Professional | 26 · Professional part | $29.51 | $30.20 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $93.33 | $95.50 | $141.25 |
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 $44.67 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $44.67 | $151.36 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $416.87 Typical High $2,041.74 | Facility | None | $245.47 | $416.87 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $223.87 | Professional | None (both parts) | $151.36 | $199.53 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $58.88 | Professional | 26 · Professional part | $43.65 | $48.98 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $165.96 | Professional | TC · Technical part | $107.15 | $151.36 | $165.96 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $239.88 | Facility | None | $128.82 | $186.21 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $1,023.29 | Professional | None (both parts) | $138.04 | $190.55 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $33.88 | $281.84 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $104.71 | $794.33 | $794.33 |
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 $131.83 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $131.83 | $162.18 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $37.15 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $190.55 | Professional | TC · Technical part | $95.50 | $120.23 | $190.55 |
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 $61.66 Median $61.66 Typical High $91.20 | Professional | 52 · Reduced service | $61.66 | $61.66 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $36.31 | Professional | 53 · Discontinued | $24.55 | $25.12 | $36.31 |
Where Oklahoma sits
The same service costs 3.0 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· 27th of 51
$186
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.