How much rates vary
Facilitymedian $417 · 10th to 90th $112 to $851Professionalmedian $115 · 10th to 90th $32 to $692
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 $77.62 Median $154.88 Typical High $165.96 | Facility | None | $77.62 | $154.88 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $125.89 | Professional | None (both parts) | $77.62 | $77.62 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $30.90 | Professional | 26 · Professional part | $20.42 | $20.42 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $91.20 | Professional | TC · Technical part | $56.23 | $56.23 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $77.62 | $91.20 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $28.84 | Professional | 26 · Professional part | $17.38 | $20.42 | $28.84 |
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 $24.55 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $24.55 | $93.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $891.25 | Facility | None | $245.47 | $245.47 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $114.82 | $128.82 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $41.69 | Professional | 26 · Professional part | $32.36 | $34.67 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $117.49 | Professional | TC · Technical part | $83.18 | $95.50 | $117.49 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $141.25 Typical High $426.58 | Facility | None | $81.28 | $141.25 | $426.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $141.25 Typical High $691.83 | Professional | None (both parts) | $93.33 | $141.25 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $23.99 | $281.84 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $67.61 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $104.71 Median $389.05 Typical High $616.60 | Facility | None | $104.71 | $389.05 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $83.18 | $100.00 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $41.69 | Professional | 26 · Professional part | $21.38 | $26.30 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $74.13 | $117.49 |
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 $38.90 Median $38.90 Typical High $58.88 | Professional | 52 · Reduced service | $38.90 | $38.90 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $23.44 | Professional | 53 · Discontinued | $15.49 | $15.49 | $23.44 |
Where Oklahoma sits
The same service costs 3.8 times more in Minnesota 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· 37th of 51
$117
MN $275UT $72.44
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.