How much rates vary
Facilitymedian $269 · 10th to 90th $174 to $513Professionalmedian $204 · 10th to 90th $47 to $389
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 $169.82 Median $251.19 Typical High $269.15 | Facility | None | $169.82 | $251.19 | $269.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $53.70 Typical High $57.54 | Facility | 26 · Professional part | $36.31 | $53.70 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $199.53 Typical High $213.80 | Facility | TC · Technical part | $134.90 | $199.53 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $169.82 | $169.82 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $36.31 | $36.31 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $134.90 | $134.90 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $138.04 | $138.04 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $28.84 | $42.66 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $354.81 | Facility | None | $190.55 | $257.04 | $354.81 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $38.02 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $38.02 | $181.97 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $645.65 Typical High $645.65 | Facility | None | $147.91 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $204.17 | $204.17 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $43.65 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $245.47 | Professional | TC · Technical part | $162.18 | $162.18 | $245.47 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $338.84 Typical High $562.34 | Facility | None | $173.78 | $338.84 | $562.34 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $309.03 Typical High $1,584.89 | Professional | None (both parts) | $181.97 | $309.03 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $33.11 | $426.58 | $426.58 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $147.91 | $1,412.54 | $1,412.54 |
United Setting Facility Modifier None Typical Low $104.71 Median $389.05 Typical High $616.60 | Facility | None | $104.71 | $389.05 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $169.82 | $204.17 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $39.81 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $295.12 | Professional | TC · Technical part | $134.90 | $162.18 | $295.12 |
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 $85.11 Median $87.10 Typical High $107.15 | Professional | 52 · Reduced service | $85.11 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $42.66 | Professional | 53 · Discontinued | $34.67 | $34.67 | $42.66 |
Where Oklahoma sits
The same service costs 3.2 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· 45th of 51
$204
MN $501UT $158
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.