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 $19.95 Median $34.67 Typical High $37.15 | Facility | None | $19.95 | $34.67 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $31.62 | Professional | None (both parts) | $19.95 | $19.95 | $31.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $5.89 Typical High $8.91 | Professional | 26 · Professional part | $5.89 | $5.89 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $22.91 | Professional | TC · Technical part | $14.13 | $14.13 | $22.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.03 Typical High $8.51 | Professional | 26 · Professional part | $6.03 | $6.03 | $8.51 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $851.14 | Facility | None | $436.52 | $602.56 | $851.14 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $7.08 Median $24.55 Typical High $33.88 | Professional | None (both parts) | $7.08 | $24.55 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $40.74 | Professional | None (both parts) | $31.62 | $33.11 | $40.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $11.75 | Professional | 26 · Professional part | $9.33 | $9.77 | $11.75 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.91 Typical High $28.84 | Professional | TC · Technical part | $22.39 | $22.91 | $28.84 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $33.88 Typical High $53.70 | Facility | None | $20.89 | $33.88 | $53.70 |
Medica Setting Professional Modifier None (both parts) Typical Low $23.99 Median $46.77 Typical High $645.65 | Professional | None (both parts) | $23.99 | $46.77 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $6.76 | $229.09 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $17.38 | $537.03 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $26.92 Typical High $53.70 | Professional | None (both parts) | $21.88 | $26.92 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.59 Typical High $12.02 | Professional | 26 · Professional part | $6.17 | $7.59 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.50 Typical High $40.74 | Professional | TC · Technical part | $15.49 | $19.50 | $40.74 |
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 $10.00 Median $10.00 Typical High $14.79 | Professional | 52 · Reduced service | $10.00 | $10.00 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.07 Typical High $6.03 | Professional | 53 · Discontinued | $3.98 | $4.07 | $6.03 |
Where Oklahoma sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 43rd of 51
$30.90
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.