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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $117.49 | $120.23 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $39.81 Typical High $41.69 | Professional | TC · Technical part | $38.90 | $39.81 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $257.04 | $263.03 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $194.98 Typical High $269.15 | Professional | 26 · Professional part | $190.55 | $194.98 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $138.04 | Professional | TC · Technical part | $63.10 | $64.57 | $138.04 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $1,548.82 Typical High $7,943.28 | Facility | None | $158.49 | $1,548.82 | $7,943.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $1,258.93 | Professional | None (both parts) | $169.82 | $269.15 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $263.03 Typical High $891.25 | Professional | 26 · Professional part | $128.82 | $263.03 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $134.90 Typical High $512.86 | Professional | TC · Technical part | $44.67 | $134.90 | $512.86 |
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 $162.18 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $162.18 | $204.17 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $151.36 Typical High $263.03 | Professional | 26 · Professional part | $120.23 | $151.36 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $138.04 | Professional | TC · Technical part | $41.69 | $52.48 | $138.04 |
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 $77.62 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Where Oklahoma sits
The same service costs 3.5 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· 30th of 51
$263
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.