How much rates vary
Facilitymedian $282 · 10th to 90th $123 to $468Professionalmedian $141 · 10th to 90th $28 to $1,175
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 $114.82 Median $125.89 Typical High $181.97 | Facility | None | $114.82 | $125.89 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $114.82 | $114.82 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $26.30 | Professional | 26 · Professional part | $20.42 | $20.42 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $93.33 | $93.33 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $102.33 | $102.33 | $151.36 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $467.74 | Facility | None | $257.04 | $338.84 | $467.74 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $21.38 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $21.38 | $120.23 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $457.09 Typical High $457.09 | Facility | None | $102.33 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $141.25 | $141.25 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $34.67 | Professional | 26 · Professional part | $24.55 | $24.55 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $117.49 | $117.49 | $177.83 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $204.17 Typical High $288.40 | Facility | None | $117.49 | $204.17 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $223.87 Typical High $1,174.90 | Professional | None (both parts) | $123.03 | $223.87 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $20.42 | $309.03 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $100.00 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $95.50 Median $346.74 Typical High $562.34 | Facility | None | $95.50 | $346.74 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $107.15 | $134.90 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $19.05 | $22.91 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $213.80 | Professional | TC · Technical part | $91.20 | $112.20 | $213.80 |
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 $57.54 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $23.44 | $28.18 |
Where Oklahoma sits
The same service costs 3.3 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· 44th of 51
$141
AK $316UT $95.50
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.