How much rates vary
Facilitymedian $269 · 10th to 90th $126 to $589Professionalmedian $155 · 10th to 90th $28 to $309
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 $190.55 Typical High $204.17 | Facility | None | $114.82 | $190.55 | $204.17 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $165.96 | Facility | TC · Technical part | $95.50 | $144.54 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $114.82 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $21.88 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $131.83 | Professional | TC · Technical part | $93.33 | $93.33 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $141.25 | $144.54 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $25.70 | Professional | 26 · Professional part | $17.38 | $18.20 | $25.70 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $302.00 Median $426.58 Typical High $588.84 | Facility | None | $302.00 | $426.58 | $588.84 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $22.91 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $22.91 | $138.04 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $512.86 Typical High $512.86 | Facility | None | $93.33 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $154.88 | $154.88 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $26.30 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $128.82 | $128.82 | $194.98 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $204.17 Typical High $269.15 | Facility | None | $117.49 | $204.17 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $1,230.27 | Professional | None (both parts) | $134.90 | $239.88 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $21.38 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $114.82 | $1,122.02 | $1,122.02 |
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 $123.03 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $123.03 | $151.36 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $24.55 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $128.82 | $229.09 |
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 $58.88 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $28.84 | Professional | 53 · Discontinued | $23.44 | $23.44 | $28.84 |
Where Oklahoma sits
The same service costs 3.7 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· 36th of 51
$155
AK $355UT $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.