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 $1,380.38 Median $5,754.40 Typical High $16,982.44 | Facility | None | $1,380.38 | $5,754.40 | $16,982.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $338.84 | $346.74 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | TC · Technical part | $199.53 | $199.53 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $575.44 Typical High $707.95 | Professional | None (both parts) | $512.86 | $575.44 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $239.88 Typical High $295.12 | Professional | 26 · Professional part | $218.78 | $239.88 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $331.13 Typical High $407.38 | Professional | TC · Technical part | $288.40 | $331.13 | $407.38 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $676.08 Typical High $7,762.47 | Facility | None | $346.74 | $676.08 | $7,762.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $537.03 Typical High $4,466.84 | Professional | None (both parts) | $371.54 | $537.03 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $295.12 Typical High $2,089.30 | Professional | 26 · Professional part | $158.49 | $295.12 | $2,089.30 |
Medica Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $436.52 Typical High $4,168.69 | Professional | TC · Technical part | $251.19 | $436.52 | $4,168.69 |
United Setting Facility Modifier None Typical Low $165.96 Median $5,888.44 Typical High $9,332.54 | Facility | None | $165.96 | $5,888.44 | $9,332.54 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $489.78 Typical High $776.25 | Professional | None (both parts) | $398.11 | $489.78 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $186.21 Typical High $281.84 | Professional | 26 · Professional part | $147.91 | $186.21 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $245.47 | $302.00 | $489.78 |
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 $169.82 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $169.82 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $69.18 | $69.18 | $70.79 |
Where Oklahoma sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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
$575
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.