How much rates vary
Facilitymedian $490 · 10th to 90th $234 to $851Professionalmedian $224 · 10th to 90th $148 to $1,660
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 $147.91 Median $147.91 Typical High $165.96 | Facility | None | $147.91 | $147.91 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $147.91 | $147.91 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $57.54 | $57.54 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $91.20 | $91.20 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | 26 · Professional part | $64.57 | $64.57 | $77.62 |
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 $72.44 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $72.44 | $181.97 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $2,041.74 | Facility | None | $416.87 | $416.87 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $302.00 | Professional | None (both parts) | $218.78 | $245.47 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $114.82 | Professional | 26 · Professional part | $89.13 | $95.50 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $147.91 Typical High $186.21 | Professional | TC · Technical part | $128.82 | $147.91 | $186.21 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $288.40 Typical High $371.54 | Facility | None | $151.36 | $288.40 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $1,659.59 | Professional | None (both parts) | $173.78 | $257.04 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $66.07 | $724.44 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $109.65 | $977.24 | $977.24 |
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 $162.18 Median $194.98 Typical High $309.03 | Professional | None (both parts) | $162.18 | $194.98 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $60.26 | $72.44 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $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 $74.13 Median $75.86 Typical High $109.65 | Professional | 52 · Reduced service | $74.13 | $75.86 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $44.67 | Professional | 53 · Discontinued | $29.51 | $30.20 | $44.67 |
Where Oklahoma sits
The same service costs 3.9 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· 28th of 51
$240
AK $468UT $120
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.