How much rates vary
Facilitymedian $257 · 10th to 90th $112 to $589Professionalmedian $126 · 10th to 90th $26 to $240
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 $107.15 Median $151.36 Typical High $162.18 | Facility | None | $107.15 | $151.36 | $162.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $29.51 Typical High $32.36 | Facility | 26 · Professional part | $19.95 | $29.51 | $32.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $128.82 | Facility | TC · Technical part | $87.10 | $120.23 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $107.15 | $107.15 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $28.18 | Professional | 26 · Professional part | $19.95 | $19.95 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $87.10 | $87.10 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $85.11 | $89.13 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.60 Typical High $23.44 | Professional | 26 · Professional part | $15.85 | $16.60 | $23.44 |
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 $20.89 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $20.89 | $112.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $416.87 Typical High $416.87 | Facility | None | $93.33 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $128.82 | $128.82 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $23.99 | $23.99 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $158.49 | Professional | TC · Technical part | $104.71 | $104.71 | $158.49 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $162.18 Typical High $512.86 | Facility | None | $112.20 | $162.18 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $199.53 Typical High $1,047.13 | Professional | None (both parts) | $112.20 | $199.53 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $20.42 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $91.20 | $933.25 | $933.25 |
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 $100.00 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $100.00 | $123.03 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $18.62 | $22.91 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $81.28 | $102.33 | $190.55 |
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 $53.70 Median $54.95 Typical High $66.07 | Professional | 52 · Reduced service | $53.70 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $26.30 | Professional | 53 · Discontinued | $21.38 | $21.88 | $26.30 |
Where Oklahoma sits
The same service costs 4.0 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· 44th of 51
$129
MN $380UT $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.