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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $117.49 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $32.36 | Professional | 26 · Professional part | $23.44 | $23.99 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $93.33 | $95.50 | $125.89 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $25.70 Median $79.43 Typical High $208.93 | Professional | None (both parts) | $25.70 | $79.43 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $562.34 Typical High $562.34 | Facility | None | $60.26 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $263.03 | Professional | None (both parts) | $173.78 | $173.78 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $44.67 | Professional | 26 · Professional part | $34.67 | $40.74 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $134.90 | $134.90 | $204.17 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $309.03 Typical High $309.03 | Facility | None | $120.23 | $309.03 | $309.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $251.19 Typical High $1,348.96 | Professional | None (both parts) | $134.90 | $251.19 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $24.55 | $371.54 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $125.89 | $1,096.48 | $1,096.48 |
United Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $269.15 | Facility | None | $45.71 | $169.82 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $134.90 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $26.92 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $109.65 | $138.04 | $251.19 |
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 $58.88 Median $60.26 Typical High $75.86 | Professional | 52 · Reduced service | $58.88 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $30.20 | Professional | 53 · Discontinued | $23.44 | $23.99 | $30.20 |
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· 34th of 51
$174
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.