How much rates vary
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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $57.54 Typical High $77.62 | Professional | None (both parts) | $56.23 | $57.54 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.98 Typical High $18.62 | Professional | 26 · Professional part | $16.60 | $16.98 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $40.74 Typical High $58.88 | Professional | TC · Technical part | $39.81 | $40.74 | $58.88 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $218.78 | Facility | None | $117.49 | $154.88 | $218.78 |
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 $56.23 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $56.23 | $123.03 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $20.42 | $29.51 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $40.74 | $93.33 | $93.33 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $95.50 Typical High $112.20 | Facility | None | $58.88 | $95.50 | $112.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $446.68 | Professional | None (both parts) | $53.70 | $75.86 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $38.02 Typical High $323.59 | Professional | 26 · Professional part | $16.60 | $38.02 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $95.50 Typical High $346.74 | Professional | TC · Technical part | $37.15 | $95.50 | $346.74 |
United Setting Facility Modifier None Typical Low $56.23 Median $208.93 Typical High $331.13 | Facility | None | $56.23 | $208.93 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $100.00 | Professional | None (both parts) | $52.48 | $66.07 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.50 Typical High $30.20 | Professional | 26 · Professional part | $15.49 | $19.50 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $69.18 | Professional | TC · Technical part | $33.88 | $45.71 | $69.18 |
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 $28.18 Median $28.84 Typical High $39.81 | Professional | 52 · Reduced service | $28.18 | $28.84 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $15.85 | Professional | 53 · Discontinued | $11.48 | $11.48 | $15.85 |
Where Oklahoma sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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
$75.86
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.