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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $138.04 | $141.25 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $72.44 | $74.13 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $67.61 Typical High $102.33 | Professional | TC · Technical part | $66.07 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $288.40 | Professional | None (both parts) | $208.93 | $234.42 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $147.91 | Professional | 26 · Professional part | $107.15 | $120.23 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $100.00 | $112.20 | $138.04 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $295.12 | Facility | None | $144.54 | $263.03 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $331.13 Typical High $1,230.27 | Professional | None (both parts) | $204.17 | $331.13 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $85.11 | $549.54 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $416.87 Typical High $1,096.48 | Professional | TC · Technical part | $158.49 | $416.87 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $229.09 | $269.15 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $77.62 | $93.33 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $173.78 | $295.12 |
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 $69.18 Median $70.79 Typical High $102.33 | Professional | 52 · Reduced service | $69.18 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $41.69 | Professional | 53 · Discontinued | $27.54 | $28.18 | $41.69 |
Where Oklahoma sits
The same service costs 3.1 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· 25th of 51
$269
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.