How much rates vary
Facilitymedian $316 · 10th to 90th $204 to $562Professionalmedian $275 · 10th to 90th $60 to $1,905
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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $229.09 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $42.66 | $43.65 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $177.83 | $199.53 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $371.54 | Facility | None | $190.55 | $257.04 | $371.54 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $46.77 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $46.77 | $257.04 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $954.99 Typical High $954.99 | Facility | None | $147.91 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $275.42 | $275.42 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $51.29 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $229.09 | $229.09 | $338.84 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $524.81 Typical High $524.81 | Facility | None | $245.47 | $524.81 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $1,905.46 | Professional | None (both parts) | $229.09 | $389.05 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $43.65 | $588.84 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $204.17 | $1,621.81 | $1,621.81 |
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 $223.87 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $223.87 | $275.42 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $38.90 | $48.98 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $407.38 | Professional | TC · Technical part | $181.97 | $229.09 | $407.38 |
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 $120.23 Median $123.03 Typical High $138.04 | Professional | 52 · Reduced service | $120.23 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $48.98 | $56.23 |
Where Oklahoma sits
The same service costs 3.0 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· 42nd of 51
$275
AK $646UT $214
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.