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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $181.97 | $181.97 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $72.44 | $74.13 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $107.15 | $109.65 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | 26 · Professional part | $102.33 | $102.33 | $114.82 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $87.10 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $87.10 | $208.93 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $295.12 Typical High $371.54 | Professional | None (both parts) | $281.84 | $295.12 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $125.89 | Professional | 26 · Professional part | $81.28 | $123.03 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $173.78 | $173.78 | $263.03 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $398.11 Typical High $416.87 | Facility | None | $190.55 | $398.11 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $346.74 Typical High $1,479.11 | Professional | None (both parts) | $218.78 | $346.74 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $74.13 | $562.34 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $1,174.90 Typical High $1,174.90 | Professional | TC · Technical part | $131.83 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $199.53 | $239.88 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $89.13 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $125.89 | $147.91 | $263.03 |
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 $91.20 Median $91.20 Typical High $134.90 | Professional | 52 · Reduced service | $91.20 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $53.70 | Professional | 53 · Discontinued | $36.31 | $36.31 | $53.70 |
Where Oklahoma sits
The same service costs 4.7 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· 31st of 51
$288
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.