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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $263.03 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $229.09 | Professional | 26 · Professional part | $223.87 | $223.87 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | TC · Technical part | $40.74 | $40.74 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $22.39 Typical High $1,096.48 | Facility | None | $21.88 | $22.39 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $380.19 Typical High $436.52 | Professional | None (both parts) | $346.74 | $380.19 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $323.59 Typical High $380.19 | Professional | 26 · Professional part | $295.12 | $323.59 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $64.57 | Professional | TC · Technical part | $44.67 | $60.26 | $64.57 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $562.34 | Facility | None | $269.15 | $398.11 | $562.34 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $3,548.13 | Professional | None (both parts) | $251.19 | $371.54 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $446.68 Typical High $1,479.11 | Professional | 26 · Professional part | $213.80 | $446.68 | $1,479.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $128.82 Typical High $2,137.96 | Professional | TC · Technical part | $30.90 | $128.82 | $2,137.96 |
United Setting Facility Modifier None Typical Low $134.90 Median $501.19 Typical High $794.33 | Facility | None | $134.90 | $501.19 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $234.42 | $288.40 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $251.19 Typical High $407.38 | Professional | 26 · Professional part | $199.53 | $251.19 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.90 Typical High $120.23 | Professional | TC · Technical part | $30.90 | $38.90 | $120.23 |
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 $131.83 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $131.83 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $52.48 | $53.70 | $53.70 |
Where Oklahoma sits
The same service costs 3.3 times more in Minnesota 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· 24th of 51
$372
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.