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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $63.10 Typical High $72.44 | Professional | None (both parts) | $61.66 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.88 Typical High $22.91 | Professional | 26 · Professional part | $20.89 | $21.88 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $40.74 Typical High $51.29 | Professional | TC · Technical part | $39.81 | $40.74 | $51.29 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $77.62 Median $102.33 Typical High $144.54 | Facility | None | $77.62 | $102.33 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $97.72 | Professional | None (both parts) | $72.44 | $93.33 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $33.88 | Professional | 26 · Professional part | $23.44 | $31.62 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $64.57 | Professional | TC · Technical part | $47.86 | $61.66 | $64.57 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $295.12 | Facility | None | $56.23 | $66.07 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $436.52 | Professional | None (both parts) | $61.66 | $81.28 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $38.02 Typical High $141.25 | Professional | 26 · Professional part | $20.42 | $38.02 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $83.18 Typical High $295.12 | Professional | TC · Technical part | $44.67 | $83.18 | $295.12 |
United Setting Facility Modifier None Typical Low $25.70 Median $95.50 Typical High $151.36 | Facility | None | $25.70 | $95.50 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $61.66 | $77.62 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $23.99 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $83.18 | Professional | TC · Technical part | $42.66 | $53.70 | $83.18 |
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 $30.90 Median $31.62 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.59 Typical High $14.45 | Professional | 53 · Discontinued | $12.30 | $12.59 | $14.45 |
Where Oklahoma sits
The same service costs 4.9 times more in Nebraska 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· 22nd of 51
$85.11
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.