How much rates vary
Facilitymedian $331 · 10th to 90th $178 to $617Professionalmedian $200 · 10th to 90th $41 to $372
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 $245.47 Typical High $263.03 | Facility | None | $169.82 | $245.47 | $263.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $50.12 | Facility | 26 · Professional part | $31.62 | $46.77 | $50.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $213.80 | Facility | TC · Technical part | $138.04 | $199.53 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $169.82 | $169.82 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $31.62 | $31.62 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $138.04 | $138.04 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $131.83 | $141.25 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $36.31 | Professional | 26 · Professional part | $22.39 | $24.55 | $36.31 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $323.59 Median $426.58 Typical High $588.84 | Facility | None | $323.59 | $426.58 | $588.84 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $32.36 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $32.36 | $177.83 | $245.47 |
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 $199.53 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $199.53 | $199.53 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $53.70 | Professional | 26 · Professional part | $37.15 | $37.15 | $53.70 |
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 $169.82 Median $269.15 Typical High $562.34 | Facility | None | $169.82 | $269.15 | $562.34 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $1,584.89 | Professional | None (both parts) | $177.83 | $309.03 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $31.62 | $891.25 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $1,380.38 Typical High $1,380.38 | Professional | TC · Technical part | $147.91 | $1,380.38 | $1,380.38 |
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 $158.49 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $158.49 | $199.53 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $35.48 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $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 $83.18 Median $85.11 Typical High $104.71 | Professional | 52 · Reduced service | $83.18 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $41.69 | Professional | 53 · Discontinued | $33.88 | $34.67 | $41.69 |
Where Oklahoma sits
The same service costs 3.5 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· 42nd of 51
$200
MN $550UT $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.