How much rates vary
Facilitymedian $112 · 10th to 90th $45 to $219Professionalmedian $31 · 10th to 90th $10 to $52
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 $23.99 Median $47.86 Typical High $47.86 | Facility | None | $23.99 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $33.11 | Professional | None (both parts) | $23.99 | $23.99 | $33.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $8.91 | Professional | 26 · Professional part | $7.59 | $7.59 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $24.55 | Professional | TC · Technical part | $16.22 | $16.22 | $24.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $25.12 Typical High $29.51 | Professional | None (both parts) | $20.89 | $25.12 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $9.55 | Professional | 26 · Professional part | $7.94 | $7.94 | $9.55 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $112.20 Median $154.88 Typical High $218.78 | Facility | None | $112.20 | $154.88 | $218.78 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $8.13 Median $27.54 Typical High $37.15 | Professional | None (both parts) | $8.13 | $27.54 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $53.70 Typical High $575.44 | Facility | None | $52.48 | $53.70 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $45.71 | Professional | None (both parts) | $30.90 | $38.90 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $8.51 | $12.02 | $12.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $33.11 | Professional | TC · Technical part | $22.39 | $26.92 | $33.11 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $51.29 Typical High $123.03 | Facility | None | $25.12 | $51.29 | $123.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $26.30 Median $40.74 Typical High $398.11 | Professional | None (both parts) | $26.30 | $40.74 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $15.85 Typical High $131.83 | Professional | 26 · Professional part | $7.41 | $15.85 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $52.48 Typical High $134.90 | Professional | TC · Technical part | $22.91 | $52.48 | $134.90 |
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 $28.84 Median $36.31 Typical High $51.29 | Professional | None (both parts) | $28.84 | $36.31 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.71 Typical High $13.18 | Professional | 26 · Professional part | $6.92 | $8.71 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $38.02 | Professional | TC · Technical part | $21.88 | $27.54 | $38.02 |
3 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 $11.75 Median $12.02 Typical High $14.13 | Professional | 52 · Reduced service | $11.75 | $12.02 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $5.62 | Professional | 53 · Discontinued | $4.79 | $4.79 | $5.62 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $23.99 Median $26.92 Typical High $28.18 | Professional | 59 · Distinct service | $23.99 | $26.92 | $28.18 |
Where Oklahoma sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 35th of 51
$32.36
MN $67.61TX $26.92
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.