How much rates vary
Facilitymedian $129 · 10th to 90th $52 to $219Professionalmedian $44 · 10th to 90th $15 to $105
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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $36.31 Typical High $42.66 | Professional | None (both parts) | $35.48 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $12.30 | Professional | 26 · Professional part | $11.22 | $11.75 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.99 Typical High $30.20 | Professional | TC · Technical part | $23.44 | $23.99 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
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 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $12.30 Median $37.15 Typical High $52.48 | Professional | None (both parts) | $12.30 | $37.15 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $45.71 | $63.10 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $12.88 | $18.20 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $31.62 | $44.67 | $44.67 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $63.10 Typical High $89.13 | Facility | None | $37.15 | $63.10 | $89.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $251.19 | Professional | None (both parts) | $36.31 | $46.77 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $21.38 Typical High $75.86 | Professional | 26 · Professional part | $10.96 | $21.38 | $75.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $50.12 Typical High $173.78 | Professional | TC · Technical part | $23.99 | $50.12 | $173.78 |
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 $33.11 Median $41.69 Typical High $67.61 | Professional | None (both parts) | $33.11 | $41.69 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $20.42 | Professional | 26 · Professional part | $10.47 | $12.88 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $22.91 | $28.18 | $46.77 |
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 $17.78 Median $17.78 Typical High $20.42 | Professional | 52 · Reduced service | $17.78 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.24 Typical High $8.13 | Professional | 53 · Discontinued | $7.08 | $7.24 | $8.13 |
Where Oklahoma sits
The same service costs 2.9 times more in Alaska 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· 33rd of 51
$45.71
AK $89.13UT $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.