How much rates vary
Facilitymedian $69 · 10th to 90th $38 to $145Professionalmedian $51 · 10th to 90th $5 to $447
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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | None (both parts) | $38.02 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $3.47 Typical High $3.55 | Professional | 26 · Professional part | $3.47 | $3.47 | $3.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | TC · Technical part | $33.88 | $33.88 | $36.31 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $186.21 | Facility | None | $109.65 | $144.54 | $186.21 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $3.47 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $3.47 | $32.36 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $223.87 | Facility | None | $35.48 | $37.15 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $50.12 | $67.61 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $5.37 Typical High $5.37 | Professional | 26 · Professional part | $3.89 | $5.37 | $5.37 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $45.71 | $61.66 | $61.66 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $69.18 Typical High $75.86 | Facility | None | $38.90 | $69.18 | $75.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $41.69 Median $66.07 Typical High $446.68 | Professional | None (both parts) | $41.69 | $66.07 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $7.76 Typical High $95.50 | Professional | 26 · Professional part | $3.39 | $7.76 | $95.50 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $93.33 Typical High $426.58 | Professional | TC · Technical part | $40.74 | $93.33 | $426.58 |
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 $41.69 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $41.69 | $51.29 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $3.98 Typical High $5.89 | Professional | 26 · Professional part | $3.16 | $3.98 | $5.89 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $79.43 | Professional | TC · Technical part | $38.02 | $47.86 | $79.43 |
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 $19.05 Median $19.05 Typical High $23.99 | Professional | 52 · Reduced service | $19.05 | $19.05 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.76 Typical High $9.55 | Professional | 53 · Discontinued | $7.59 | $7.76 | $9.55 |
Where Oklahoma sits
The same service costs 3.3 times more in North Dakota 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· 38th of 51
$51.29
ND $102UT $30.90
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.